Al Samara, Rasha
Al Samara, Rasha is an sole proprietor health care provider with primary practice located at 30 Satellite Dr Ste 100, Winder GA 30680-6211. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Al Samara, Rasha can be contacted via phone (770) 586-0310.Contact Information
Primary practice address
30 Satellite Dr Ste 100
Winder GA 30680-6211
Phone: (770) 586-0310
Fax: (770) 586-0312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 063592 | Georgia |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 4301089449 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 063592 | Georgia |
Profile Details
| NPI number | 1740480193 |
|---|---|
| LBN Legal business name | Al Samara, Rasha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2007 |
| Last updated | Aug 20th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740480193 | NPPES |
| Michigan | Other | 5315030251 | CONTROLLED SUBSTANCE |
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