Provider Demographics
NPI:1235141094
Name:HOODA, RASHMI (MD)
Entity Type:Individual
Prefix:MS
First Name:RASHMI
Middle Name:
Last Name:HOODA
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 1:511 N COBB ST
Mailing Address - Street 2:SUITE 13
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061
Mailing Address - Country:US
Mailing Address - Phone:478-453-9472
Mailing Address - Fax:478-453-3134
Practice Address - Street 1:511 N COBB ST
Practice Address - Street 2:SUITE 13
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061
Practice Address - Country:US
Practice Address - Phone:478-453-9472
Practice Address - Fax:478-453-3134
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA050717207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000927165AMedicaid
GA11BDVNNMedicare ID - Type Unspecified