Dr. Abdalsamih Taeb, MD
Internal Medicine, Pulmonary Disease in Austell, GA. Individual provider (NPI-1).
NPI number1487941597
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1487941597
- Entity type
- Individual (NPI-1)
- Name
- Dr. Abdalsamih Taeb
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2011
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 84225 | GA | Yes |
| 207R00000X | Internal Medicine | MD452290 | PA | |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 0116029789 | VA | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 0116029789 | VA | |
| 208M00000X | Hospitalist | MD452290 | PA |
Practice location
1664 Mulkey RdAustell, GA 30106-1114
Phone 770-422-1372
Mailing address
1664 Mulkey RdAustell, GA 30106-1114
Phone 770-422-1372
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