Individual
DR. MURTAZA CASSOOBHOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
043014
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
043014
GA
208M00000X
Hospitalist Physician
43014
GA
Other
Enumeration date
10/16/2006
Last updated
03/05/2023
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