Healthcare Provider Details

I. General information

NPI: 1780174078
Provider Name (Legal Business Name): RANA AL-JABERI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 CLIFTON RD NE BLDG B
ATLANTA GA
30322-1900
US

IV. Provider business mailing address

1365 CLIFTON RD NE BLDG B
ATLANTA GA
30322-1013
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-8570
  • Fax:
Mailing address:
  • Phone: 404-778-8570
  • Fax: 404-778-8562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number90076
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207SG0207X
TaxonomyMedical Biochemical Genetics
License Number90076
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: