Basic Information
Provider Information
NPI: 1497947220
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALTURKMANI
FirstName: RAGHEED
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 805 SANDY PLAINS ROAD
Address2: MEDICAL STAFF SERVICES
City: MARIETTA
State: GA
PostalCode: 300666340
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1664 MULKEY RD
Address2:  
City: AUSTELL
State: GA
PostalCode: 30106
CountryCode: US
TelephoneNumber: 7704221372
FaxNumber: 7709992599
Other Information
ProviderEnumerationDate: 08/15/2007
LastUpdateDate: 10/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X67889GAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001X67889GAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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