Qutob, Hisham Fozi
Qutob, Hisham Fozi is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Qutob, Hisham Fozi can be contacted via phone (770) 219-9000.Contact Information
Primary practice address
743 Spring St Ne
Gainesville GA 30501-3715
Phone: (770) 219-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 50856 | Tennessee |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 50856 | Tennessee |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 86852 | Georgia |
Profile Details
| NPI number | 1578723177 |
|---|---|
| LBN Legal business name | Qutob, Hisham Fozi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2008 |
| Last updated | Feb 15th, 2021 - about 4 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 | 1578723177 | NPPES |
| Tennessee | MEDICAID | Q006605 |
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