Individual
TABASSUM SAFRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
771 OLD NORCROSS RD, SUITE 120, LAWRENCEVILLE, GA 30046-4386
(770) 670-6923
(770) 670-6927
Mailing address
771 OLD NORCROSS RD, SUITE 120, LAWRENCEVILLE, GA 30046-4386
(770) 670-6923
(770) 670-6927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263146
NY
207R00000X
Internal Medicine Physician
Primary
72110
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003159046A
—
GA
Enumeration date
10/10/2011
Last updated
07/16/2015
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