Individual
DR. MOHAMMAD RIAZ ANJUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6488 SPRING ST STE 100, DOUGLASVILLE, GA 30134-1895
(770) 489-4978
(770) 489-5279
Mailing address
6488 SPRING ST STE 100, DOUGLASVILLE, GA 30134-1895
(770) 489-4978
(770) 489-5279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40859
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000693877AC
—
GA
05
—
000693877AD
—
GA
05
—
000693877AF
—
GA
05
—
000693877AG
—
GA
05
—
000693877L
—
GA
05
—
000693877P
—
GA
05
—
00693877P
—
GA
05
—
00693877R
—
GA
05
—
00693877V
—
GA
Enumeration date
06/30/2006
Last updated
02/14/2024
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