Provider Demographics
NPI:1235669664
Name:TOOR, RABIA (MD)
Entity Type:Individual
Prefix:
First Name:RABIA
Middle Name:
Last Name:TOOR
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 1:2220 WISTERIA DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-4606
Mailing Address - Country:US
Mailing Address - Phone:770-224-1388
Mailing Address - Fax:
Practice Address - Street 1:2220 WISTERIA DR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-4606
Practice Address - Country:US
Practice Address - Phone:770-979-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315085473207R00000X
OH35.138951207R00000X
GA98676207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine