Individual provider · NPI-1

Hatem Al Kassem, M.D.

Hospitalist · Lawrenceville, GA

NPI number1609211481
StatusActive
Last updated in NPPESMar 5, 2023

Details

NPI
1609211481
Entity type
Individual (NPI-1)
Name
Hatem Al Kassem
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 7, 2013
Certification date
Mar 2, 2023
Last updated
Mar 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist86699GAYes
207R00000X Internal Medicine036141501IL
207R00000X Internal Medicine86699GA

Practice location

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Phone 678-312-3294 · Fax 678-312-3282

Mailing address

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Phone 678-312-3294 · Fax 678-312-3282

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