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Shiraz Habib Kassam
Obstetrics Physician in Conyers, Georgia
NPI 1295008563

Shiraz Habib Kassam is a Obstetrics Physician based in Conyers, GA and is specialized in Obstetrics. Shiraz Habib Kassam practices in Conyers, GA. The NPI Number for Shiraz Habib Kassam is 1295008563 and holds a License No. 21321 (Georgia).

The current practice location address for Shiraz Habib Kassam is 1380 Milstead Ave Ne, Conyers, GA and can be reached out via phone at 770-922-2424 and via fax at 770-922-8782.

Location: 1380 Milstead Ave Ne, Conyers, GA, 30012-3864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295008563
Provider Name
Shiraz Habib Kassam
Credential
Provider Entity Type
Organization
Address
1380 Milstead Ave Ne, Conyers, GA, 30012-3864
Phone Number
770-922-2424
Fax Number
770-922-8782
Provider Enumeration Date
02/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000190506B 05 GA
institution
Provider Business Practice Location Address Details
Address
1380 Milstead Ave Ne
City
Conyers
State
Georgia
Zip
30012-3864
Phone Number
770-922-2424
Fax Number
770-922-8782
person
Provider Business Mailing Address Details
Address
1380 Milstead Ave Ne
City
Conyers
State
Georgia
Zip
30012-3864
Phone Number
770-922-2424
Fax Number
770-922-8782
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
21321 (Georgia)
Definition
Definition to come...
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