Organization
SAVANNAH MEDICAL SPECIALISTS PC
Active
Other names
MA Masroor MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD ALI MASROOR MD (PRESIDENT)
(912) 352-1553
Entity
Organization
Contact information
Practice address
5354 REYNOLDS ST STE 505, SAVANNAH, GA 31405-6012
(912) 352-1553
(912) 355-3528
Mailing address
5354 REYNOLDS ST STE 505, SAVANNAH, GA 31405-6012
(912) 352-1553
(912) 355-3528
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
017705
GA
207RP1001X
Pulmonary Disease Physician
031689
GA
363AM0700X
Medical Physician Assistant
3752
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP2381
MEDICARE PTAN NUMBER
GA
Enumeration date
12/26/2006
Last updated
07/08/2015
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