Individual
DR. RIAZ RASSEKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2011 WINDSOR SPRING ROAD, AUGUSTA, GA 30906
(706) 798-1700
(706) 798-8626
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 922-6695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038923
GA
207Q00000X
Family Medicine Physician
Primary
38923
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00622927A
—
GA
01
—
038923
LICENSE
GA
01
—
10056414
AMERIGROUP
GA
01
—
337013
WELLCARE
GA
01
—
38923
GA MEDICAL LICENSE
GA
01
—
CH0654
RR MEDICARE GROUP PIN
GA
05
—
G38923
—
SC
Enumeration date
06/07/2006
Last updated
04/20/2026
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