Provider Demographics
NPI:1881803856
Name:CASAS, ANA MARIA (MD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:MARIA
Last Name:CASAS
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 1:3025 CREEK TREE LN
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6369
Mailing Address - Country:US
Mailing Address - Phone:404-210-9969
Mailing Address - Fax:
Practice Address - Street 1:5490 MCGINNIS VILLAGE PL
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-1733
Practice Address - Country:US
Practice Address - Phone:404-210-9969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057355207R00000X
FL075525207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine