- Practice location
- 1000 Johnson Ferry RD, Atlanta, GA 30342-1606
- Phone
- 404-851-6323
- Fax
- 404-303-3747
- Last updated
- June 6, 2023
Imad Abossallue is a Nuclear Medicine based in Atlanta, GA. Imad Abossallue practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Imad Abossallue is 1134359599 and holds a License No. ME121864 (FL). The current practice location address for Imad Abossallue is 1000 Johnson Ferry RD, Atlanta, GA 30342-1606 and can be reached out via phone at 404-851-6323 and via fax at 404-303-3747.
Provider Profile Details
- NPI Number
- 1134359599
- Provider Name
- Imad Abossallue
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1000 Johnson Ferry RD, Atlanta, GA 30342-1606
- Phone Number
- 404-851-6323
- Fax Number
- 404-303-3747
- Primary Taxonomy
- Nuclear Medicine · 207U00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 20, 2009
- Last Update Date
- June 6, 2023
- Certification Date
- June 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1000 Johnson Ferry RD
Atlanta, GA 30342-1606 - City
- Atlanta
- State
- Georgia
- Zip
- 30342-1606
- Phone Number
- 404-851-6323
- Fax Number
- 404-303-3747
Provider Business Mailing Address Details
- Address
- 5605 Glenridge Dr Ste 325
Atlanta, GA 30342-1301 - City
- Atlanta
- State
- GA
- Zip
- 30342-1301
- Phone Number
- 404-252-4709
License Information
- License Number (1)
- ME121864
- License State (1)
- FL
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 2009010810
- License State (2)
- MO
- Taxonomy (2)
- Internal Medicine · 207R00000X
- License Number (3)
- 4301102046
- License State (3)
- MI
- Taxonomy (3)
- Internal Medicine, Geriatric Medicine · 207RG0300X
- License Number (4)
- ME121864
- License State (4)
- FL
- Taxonomy (4)
- Nuclear Medicine · 207U00000X
- License Number (5)
- 88214
- License State (5)
- GA
- Taxonomy (5)
- Nuclear Medicine · 207U00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Imad Abossallue, MD?
The NPI number of Imad Abossallue, MD is 1134359599. It was assigned on July 20, 2009 and is currently active in the NPPES registry.
What is the specialty of Imad Abossallue, MD?
Imad Abossallue, MD is registered under the primary taxonomy Nuclear Medicine (code 207U00000X), licensed in FL under license number ME121864.
Where does Imad Abossallue, MD practice?
The practice location is 1000 Johnson Ferry RD, Atlanta, GA 30342-1606. The office can be reached at 404-851-6323 (phone) or 404-303-3747 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134359599 directly on the NPPES registry website.