Individual provider · NPI-1

Dr. Murtaza Cassoobhoy, MD

Internal Medicine, Hospice and Palliative Medicine · Lawrenceville, GA

NPI number1407936446

StatusActive

Last updated in NPPESMar 5, 2023

Details

NPI: 1407936446
Entity type: Individual (NPI-1)
Name: Dr. Murtaza Cassoobhoy
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Oct 16, 2006
Certification date: Mar 5, 2023
Last updated: Mar 5, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RH0002X	Internal Medicine, Hospice and Palliative Medicine	043014	GA	Yes
207R00000X	Internal Medicine	043014	GA
208M00000X	Hospitalist	43014	GA

Practice location

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Phone 678-312-3294 · Fax 678-312-3282

Mailing address

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Phone 678-312-3294 · Fax 678-312-3282

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