Individual provider · Type 1 NPI

Assam Ullah, MD

Student in an Organized Health Care Education/Training Program · Riverdale, GA

NPI number 1811744279 Active · reactivated Jan 16, 2025

Practice location

11 Upper Riverdale Rd. Southern Regional Medical Center
Riverdale, GA 30274

Call (770) 991-8570 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811744279

Assam Ullah, MD's National Provider Identifier is 1811744279, issued on May 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverdale, GA. The record was last updated on Jan 16, 2025.