Provider Demographics
NPI:1528435724
Name:ADEEL, RANA MUHAMMAD (MD)
Entity type:Individual
Prefix:
First Name:RANA
Middle Name:MUHAMMAD
Last Name:ADEEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11660 ALPHARETTA HWY STE 430
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-3880
Mailing Address - Country:US
Mailing Address - Phone:770-255-1069
Mailing Address - Fax:
Practice Address - Street 1:11660 ALPHARETTA HWY STE 430
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-3880
Practice Address - Country:US
Practice Address - Phone:770-255-1069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA86614207R00000X, 207RI0200X
NV16418207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVFR5984338OtherDEA