Provider Demographics
NPI:1194708651
Name:HASAN, RANA RAB (MD)
Entity type:Individual
Prefix:DR
First Name:RANA
Middle Name:RAB
Last Name:HASAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RANA
Other - Middle Name:IMAM
Other - Last Name:RAB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1664 MULKEY RD
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1114
Mailing Address - Country:US
Mailing Address - Phone:770-422-1372
Mailing Address - Fax:770-999-2599
Practice Address - Street 1:4441 ATLANTA RD SE STE 214
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6442
Practice Address - Country:US
Practice Address - Phone:470-956-4150
Practice Address - Fax:678-842-5536
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA029291207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0932200001OtherWORKERS COMPENSATION
2423197008OtherCIGNA
4800059OtherUNITED HEALTHCARE
GA450162OtherBLUE CROSS BLUE SHIELD
GA290010952OtherRAILROAD MEDICARE
2999759OtherGHI
GA00557862BMedicaid
GA1194708651OtherNPI
GA5934OtherKAISER
5235111OtherAETNA
GA1194708651OtherNPI
GA290010952OtherRAILROAD MEDICARE