Individual
DR. SHAHID RAFIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2356 LENORA CHURCH RD, SNELLVILLE, GA 30078-3233
(770) 972-0340
(770) 558-4140
Mailing address
2356 LENORA CHURCH RD, SNELLVILLE, GA 30078-3233
(770) 972-0340
(770) 558-4140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043268
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
043268
GA
Other
Enumeration date
11/11/2006
Last updated
10/09/2017
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