Individual
DR. AREFA MOOSAJEE CASSOOBHOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
3142 EVELYN ST, TUCKER, GA 30084-5101
(678) 471-2036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
050469
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00961023A
—
GA
Enumeration date
09/20/2006
Last updated
07/08/2007
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