Individual provider · NPI-1

Rasha Al Samara, MD

Internal Medicine · Lawrenceville, GA

NPI number1740480193

StatusActive

Last updated in NPPESJul 29, 2024

Details

NPI: 1740480193
Entity type: Individual (NPI-1)
Name: Rasha Al Samara
Credential: MD
Sex: Female
Sole proprietor: Yes
Enumeration date: Jul 24, 2007
Certification date: Jul 29, 2024
Last updated: Jul 29, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	063592	GA	Yes

Practice location

738 Old Norcross Rd
Lawrenceville, GA 30046-4462

Phone 470-415-8320

Mailing address

2217 Gracehaven Way
Lawrenceville, GA 30043-4940

Phone 770-586-0310 · Fax 770-586-0312

Other practice locations

30 Satellite Dr
Ste 100
Winder, GA 30680-6211

Phone 770-586-0310 · Fax 770-586-0312

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.