Raham, Vance Andre'

Raham, Vance Andre' is an individual health care provider with primary practice located at 335 Roselane St Nw Ste 203 , Marietta GA 30060-7902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Raham, Vance Andre' can be contacted via phone (678) 882-0878.

Contact Information

Primary practice address
335 Roselane St Nw Ste 203 Marietta GA 30060-7902
Phone: (678) 882-0878
Fax: (678) 224-8183
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 01045645A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01045645A Indiana

Profile Details

NPI number 1881667046
LBN Legal business name Raham, Vance Andre'
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Apr 14th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881667046 NPPES
Indiana MEDICAID 200111860A

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