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Shiraz Habib Kassam

Obstetrics & Gynecology, Obstetrics in Conyers, GA. Organization (NPI-2).

NPI number1295008563
StatusActive
Last updated in NPPESFeb 17, 2012

Details

NPI
1295008563
Entity type
Organization (NPI-2)
Legal business name
Shiraz Habib Kassam
Organization subpart
No
Enumeration date
Feb 17, 2012
Last updated
Feb 17, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VX0000X Obstetrics & Gynecology, Obstetrics21321GAYes

Practice location

1380 Milstead Ave Ne
Conyers, GA 30012-3864

Phone 770-922-2424 · Fax 770-922-8782

Mailing address

1380 Milstead Ave Ne
Conyers, GA 30012-3864

Phone 770-922-2424 · Fax 770-922-8782

Authorized official

Mubina Mawji
Office Manager
7709222424

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