Faizal Mamani, CAA is a
Anesthesiologist Assistant based in Tucker, Georgia. Faizal Mamani is licensed to practice in Georgia (license number ) and his current practice location is
5826 Rue Villa Ln, Tucker, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 514-7265.
NPI number for Faizal Mamani is 1659244556 and his current mailing address is 5826 Rue Villa Ln, Tucker, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659244556.
Provider's Profile
| Full Name | Faizal Mamani |
|---|
| Gender | Male |
|---|
| Speciality | Anesthesiologist Assistant |
|---|
| Location | 5826 Rue Villa Ln, Tucker, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659244556
- Provider Enumeration Date: 09/26/2025
- Last Update Date: 09/26/2025
Medical Identifiers
Medical identifiers for Faizal Mamani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659244556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367H00000X | Anesthesiologist Assistant | (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Faizal Mamani is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Faizal Mamani, CAA
5826 Rue Villa Ln,
Tucker, GA 30084-1966
Ph: () - | Faizal Mamani, CAA
5826 Rue Villa Ln,
Tucker, GA 30084-1966
Ph: (404) 514-7265 |
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