Individual
RAABIA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1690 SKYLYN DR STE 300A, SPARTANBURG, SC 29307-1022
(864) 342-4000
(864) 585-2488
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301105027
MI
207Q00000X
Family Medicine Physician
Primary
84942
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
849425
—
SC
01
—
SCI8335019
MEDICARE PIN
SC
Enumeration date
07/14/2014
Last updated
11/17/2020
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