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NPI Code Detail

MEDICARE: SAMRA RASHID

MEDICARE: SAMRA RASHID
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1740082817
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMRA RASHID
Provider Business Mailing Address
First Line : 2021 PERNOSHAL CT STE 3000
Second Line :
City : DUNWOODY
State : GA
Zip : 30338-6405
Country : US
Telephone Number : 404-778-6920
Fax Number : 404-778-6901
Provider Business Practice Location Address
First Line : 2021 PERNOSHAL CT
Second Line :
City : DUNWOODY
State : GA
Zip : 30338-6405
Country : US
Telephone Number : 404-778-6920
Fax Number : 404-778-6901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2025
Last Update Date : 03/27/2025

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Directions to “ SAMRA RASHID ” Practice Location

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