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Mr. Reza John Hatefi, PAC

Physician Assistant in Wake Forest, NC · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114960036

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Registry record

Entity type Individual (Type 1)
Name Mr. Reza John Hatefi
Credential PAC
Sex Male
Practice address 2001 S Main St, Wake Forest, NC, 27587
Enumeration date Jun 14, 2006
Last updated in NPPES Feb 25, 2021

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License NC 103020 (NC) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Reza Hatefi?
The National Provider Identifier (NPI) for Reza Hatefi is 1114960036, a Type 1 (individual) record in the CMS NPPES registry.
Where does Reza Hatefi practice?
The practice location on file with NPPES is in Wake Forest, NC. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-25.