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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740480193 NPPES
Michigan Other 5315030251 CONTROLLED SUBSTANCE

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