Kassam, Mohamed H
Kassam, Mohamed H is an individual health care provider with primary practice located at 2020 Honey Creek Pkwy Se , Conyers GA 30013-2974. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kassam, Mohamed H can be contacted via phone (770) 929-0813.Contact Information
Primary practice address
2020 Honey Creek Pkwy Se
Conyers GA 30013-2974
Phone: (770) 929-0813
Fax: (770) 922-8653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 33847 | Georgia |
Profile Details
| NPI number | 1215935507 |
|---|---|
| LBN Legal business name | Kassam, Mohamed H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Dec 29th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215935507 | NPPES |
| Georgia | MEDICAID | 00447334A |
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