Individual ProviderRaghda Al AnbariInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1500 Oglethorpe Ave Ste 500b, Athens, GA 30606-2184(706) 548-0991(678) 860-2648PECOS EnrollmentBased on the most recent information from CMS, provider Raghda Al Anbari is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1285164368Provider TypeIndividualFull NameAl Anbari, RaghdaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/12/2017Last Updated9/7/2022Contact InformationPractice LocationPractice Address1500 Oglethorpe Ave Ste 500b, Athens, GA 30606-2184Phone(706) 548-0991FaxUnlisted FaxMailing LocationMailing Address29681 N Waukegan Rd Apt 106, Lake Bluff, IL 60044-5481Phone(678) 860-2648Fax(678) 860-2648Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense91026GeorgiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125070982Illinois