Healthcare Provider Details

I. General information

NPI: 1508780503
Provider Name (Legal Business Name): ANANRA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1215 MEMORIAL DR
DALTON GA
30720-2530
US

IV. Provider business mailing address

1841 CHONDRA DR
MARIETTA GA
30062-2736
US

V. Phone/Fax

Practice location:
  • Phone: 706-272-6060
  • Fax:
Mailing address:
  • Phone: 404-480-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARIF ALI
Title or Position: MANAGER
Credential: MD
Phone: 404-480-8000