Provider Demographics
NPI:1568471258
Name:MASSEOUD, DANIA N (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIA
Middle Name:N
Last Name:MASSEOUD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3193 HOWELL MILL RD NW
Mailing Address - Street 2:SUITE 317
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2119
Mailing Address - Country:US
Mailing Address - Phone:404-603-9090
Mailing Address - Fax:404-603-9634
Practice Address - Street 1:3193 HOWELL MILL RD NW
Practice Address - Street 2:SUITE 317
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-2119
Practice Address - Country:US
Practice Address - Phone:404-603-9090
Practice Address - Fax:404-603-9634
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2012-06-07
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Provider Licenses
StateLicense IDTaxonomies
GA052462207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI39215001Medicare UPIN
GA66BBBHNMedicare ID - Type Unspecified