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Individual
RACHEED M ATASSI
Active
Individual
RACHEED M ATASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301094667
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009975195
—
AL
01
—
1105004461
BCBSM
MI
01
—
1457583692
MEDICAID GROUP ID
MI
05
—
1710969639
—
MI
01
—
51523326
BC/BS - GOODWATER
—
01
—
51523499
BC/BS - SYLACAUGA
—
05
—
529908510
—
AL
05
—
540003928
—
AL
05
—
543928003
—
AL
Enumeration date
11/16/2005
Last updated
10/25/2012
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