Individual
MR. RANA ZOUVEENOOR TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1404 RIVER PL STE 501, BRASELTON, GA 30517-5600
(770) 534-2020
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125065633
IL
207RC0000X
Cardiovascular Disease Physician
01083033A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
101722
GA
Other
Enumeration date
07/01/2014
Last updated
11/26/2024
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