Anjum, Mohammad Riaz

Anjum, Mohammad Riaz is an sole proprietor health care provider with primary practice located at 6488 Spring St Ste 100 , Douglasville GA 30134-1895. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Anjum, Mohammad Riaz can be contacted via phone (770) 489-4978.

Contact Information

Primary practice address
6488 Spring St Ste 100 Douglasville GA 30134-1895
Phone: (770) 489-4978
Fax: (770) 489-5279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 40859 Georgia

Profile Details

NPI number 1427086081
LBN Legal business name Anjum, Mohammad Riaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Feb 14th, 2024 - about 2 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 1427086081 NPPES
Georgia MEDICAID 000693877P
Georgia MEDICAID 000693877AF
Georgia MEDICAID 00693877R
Georgia MEDICAID 000693877AC
Georgia MEDICAID 000693877AG
Georgia MEDICAID 00693877P
Georgia MEDICAID 000693877L
Georgia MEDICAID 00693877V
Georgia MEDICAID 000693877AD

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