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Individual

SANA MASOOD MAKHDOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1555 DOCTORS DR STE 102, LAGRANGE, GA 30240-4132
(706) 803-7890
(770) 999-2850
Mailing address
1555 DOCTORS DR STE 102, LAGRANGE, GA 30240-4132
(706) 803-7890
(770) 999-2850

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2011-01216
NC
207RR0500X
Rheumatology Physician
Primary
81437
GA
207RR0500X
Rheumatology Physician
C1-0011610
DE
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/25/2008
Last updated
03/19/2024
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