Individual
DR. YASMEEN QUDDOOS IMRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-5227
Mailing address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-5227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
064393
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
38635
KY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
41100
TN
208M00000X
Hospitalist Physician
Primary
064393
GA
282N00000X
General Acute Care Hospital
64393
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00890
BLUE ADVANTAGE
TN
01
—
10067493
AMERIGROUP
TN
01
—
108267
HEALTHSPRING
TN
01
—
11312199
COVENTRY
TN
05
—
3735141
—
TN
01
—
3825837
TENNCARE
TN
01
—
4132017
BCBS
TN
01
—
6995651
CIGNA
TN
01
—
7968666
AETNA
TN
01
—
9351066
PCHS
TN
01
—
P 00381130
RRMC
TN
01
—
TID
BEECH STREET
TN
01
—
TN 0101
AMERICHOICE
TN
Enumeration date
06/26/2006
Last updated
09/26/2019
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