Provider Demographics
NPI:1174665657
Name:RANA, ATIYA KASHIF (MD)
Entity Type:Individual
Prefix:
First Name:ATIYA
Middle Name:KASHIF
Last Name:RANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1861 PEELER RD
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5714
Mailing Address - Country:US
Mailing Address - Phone:770-730-5800
Mailing Address - Fax:770-730-5803
Practice Address - Street 1:1861 PEELER RD
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-5714
Practice Address - Country:US
Practice Address - Phone:770-730-5800
Practice Address - Fax:770-730-5803
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA061851207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA468539249CMedicaid
GA468539249CMedicaid