Individual
DR. NURALLAH GULAMHUSSAIN ESMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2145 ROSWELL RD STE 80, MARIETTA, GA 30062-0819
(770) 977-6600
(770) 977-8444
Mailing address
2145 ROSWELL RD, SUITE 80, MARIETTA, GA 30062-0821
(770) 977-6600
(770) 977-8444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
035623
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000648
AMERIGROUP
GA
01
—
297510
WELLCARE
GA
01
—
5788293
AETNA
GA
01
—
761991AME
UNITED HEALTH CARE
GA
01
—
PSHP
00579609A
GA
Enumeration date
03/16/2007
Last updated
07/08/2007
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