Provider Demographics
NPI:1225053994
Name:RASHID, QAMMAR N (MD)
Entity Type:Individual
Prefix:DR
First Name:QAMMAR
Middle Name:N
Last Name:RASHID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 N DECATUR RD STE 130
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6136
Mailing Address - Country:US
Mailing Address - Phone:404-501-7081
Mailing Address - Fax:404-419-1680
Practice Address - Street 1:2665 N DECATUR RD STE 130
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6136
Practice Address - Country:US
Practice Address - Phone:404-501-7081
Practice Address - Fax:404-419-1680
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA056640174400000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA730930133BMedicaid
GA730930133BMedicaid