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Individual
DR. SAJJAD AHMED RATTANSI
Active
Individual
DR. SAJJAD AHMED RATTANSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036117817
IL
207R00000X
Internal Medicine Physician
Primary
ME129658
FL
208000000X
Pediatrics Physician
036117817
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021611400
—
FL
05
—
036117817
—
IL
01
—
809840
MEDICARE GROUP #
IL
01
—
CA4079
RR MEDICARE GROUP PTAN
IL
01
—
P00617103
RR MEDICARE GROUP MEMBER PTAN
IL
Enumeration date
05/10/2007
Last updated
11/19/2019
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