Taeb, Abdalsamih

Taeb, Abdalsamih is an individual health care provider with primary practice located at 1664 Mulkey Rd , Austell GA 30106-1114. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Taeb, Abdalsamih can be contacted via phone (770) 422-1372.

Contact Information

Primary practice address
1664 Mulkey Rd Austell GA 30106-1114
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD452290 Pennsylvania
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 0116029789 Virginia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0116029789 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD452290 Pennsylvania
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 84225 Georgia

Profile Details

NPI number 1487941597
LBN Legal business name Taeb, Abdalsamih
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2011
Last updated Feb 4th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487941597 NPPES
Pennsylvania MEDICAID 102987999

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