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Individual

SAMINA BHATTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
65 OLD JACKSON RD, MCDONOUGH, GA 30252-3095
(678) 490-0080
(678) 490-0091
Mailing address
65 OLD JACKSON RD, MCDONOUGH, GA 30252-3095
(678) 490-0080
(678) 490-0091

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101245534
VA
207R00000X
Internal Medicine Physician
Primary
73105
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205008935
VA
Enumeration date
04/02/2008
Last updated
02/23/2015
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