person
Dr. Khaled Ali Qasem, MD
General Practice Physician in Smyrna, Georgia
NPI 1568686145

Khaled Ali Qasem is a General Practice Physician based in Smyrna, GA. Khaled Ali Qasem practices in Smyrna, GA and has the professional credentials of MD. The NPI Number for Khaled Ali Qasem is 1568686145 and holds a License No. 025816 (Georgia).

The current practice location address for Khaled Ali Qasem is 3073 Dunn St Se, Smyrna, GA and can be reached out via phone at 478-892-3189 and via fax at 478-892-3189.

Location: 3073 Dunn St Se, Smyrna, GA, 30080-4470
person
Provider Profile Details
NPI Number
1568686145
Provider Name
Khaled Ali Qasem
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3073 Dunn St Se, Smyrna, GA, 30080-4470
Phone Number
478-892-3189
Fax Number
478-892-3189
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00275195A 05 GA
institution
Provider Business Practice Location Address Details
Address
3073 Dunn St Se
City
State
Zip
30080-4470
Phone Number
478-892-3189
Fax Number
478-892-3189
person
Provider Business Mailing Address Details
Address
3073 Dunn St Se
City
State
Zip
30080-4470
Phone Number
478-892-3189
Fax Number
478-892-3189
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
025816 (Georgia)
Definition
Definition to come...
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