SHIRAZ HABIB KASSAM (NPI# 1295008563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295008563 |
| Entity Type | Organization |
| Organization Name | SHIRAZ HABIB KASSAM |
| Practice Address |
1380 Milstead Ave Ne Conyers GA 30012-3864 |
| Practice Telephone | 7709222424 |
| Practice Fax Number | 7709228782 |
| Mailing Telephone | 7709222424 |
| Mailing Fax Number | 7709228782 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |
| Authorized Official Name | MRS. MUBINA MAWJI (OFFICE MANAGER) |
| Authorized Official Telephone | 7709222424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
21321 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000190506B | 05 |
| Street Address |
1380 MILSTEAD AVE NE |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609845403 | Jack Donald James | Specialist | 1380 Milstead Ave Ne, Suite B, Conyers, GA 30012-3864 | 2006-03-15 |
| 1932507423 | Md Precision Lab | Clinical Medical Laboratory | 1380 Milstead Ave Ne, Ste J, Conyers, GA 30012-3864 | 2014-12-15 |
| 1063752913 | Conyers Internal Medicine LLC | Internal Medicine | 1380 Milstead Ave Ne, Ste C, Conyers, GA 30012-3864 | 2013-02-28 |
| 1275872632 | Colon & Digestive Health Specialists LLC | Internal Medicine | 1380 Milstead Ave Ne, Ste C, Conyers, GA 30012-3864 | 2013-02-05 |
| 1346538881 | Julianne Adams Birt, Md, LLC | Obstetrics & Gynecology | 1380 Milstead Ave Ne, Suite F, Conyers, GA 30012-3864 | 2011-07-19 |
| 1467613232 | Pediatric Cardiology Services LLC | Pediatrics | 1380 Milstead Ave Ne, Suite J, Conyers, GA 30012-3864 | 2008-06-24 |
| 1619093788 | Serenity Health Care and Hospice | Hospice Care, Community Based | 1380 Milstead Ave Ne, Suite H, Conyers, GA 30012-3864 | 2007-03-21 |
| 1639216450 | Holly Anne Imlach | Obstetrics & Gynecology | 1380 Milstead Ave Ne, Suite E, Conyers, GA 30012-3864 | 2007-01-31 |
| 1699823245 | The Atlanta Cardioloyg Group, PC | Internal Medicine | 1380 Milstead Ave Ne, Suite E, Conyers, GA 30012-3864 | 2007-01-08 |
| 1700946258 | Karim Shakoor, M.d.,p.c. | Internal Medicine | 1380 Milstead Ave Ne, Suite-c, Conyers, GA 30012-3864 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757907 | Atlanta Midtown Gynecology 2 LLC | Obstetrics & Gynecology | 842 N Highland Ave Ne Ste 250, Atlanta, GA 30306-4514 | 2018-07-19 |
| 1922481522 | Anna Carter | Obstetrics & Gynecology | 1700 Tree Ln Ste 290, Snellville, GA 30078-6748 | 2015-07-01 |
| 1164832101 | Desiree Ogbedei Ashong Simon | Obstetrics & Gynecology | 1300 Upper Hembree Rd Ste D, Roswell, GA 30076-0927 | 2014-04-29 |
| 1427303411 | Cynthia C Mercer Md PC | Obstetrics & Gynecology | 77 Weaver Rd Ste A, Blairsville, GA 30512-3136 | 2012-07-17 |
| 1972892388 | John Yongseung Lee | Obstetrics & Gynecology | 1325 Satellite Blvd Nw Bldg 700, Suwanee, GA 30024-4651 | 2011-04-06 |
| 1427235597 | Khadeja Haye | Obstetrics & Gynecology | 69 Jesse Hill Jr Dr, Atlanta, GA 30303 | 2008-01-30 |
| 1215111992 | Milledgeville Family Practice Center P.C. | Obstetrics & Gynecology | 540 W Thomas St Ste B, Milledgeville, GA 31061-2745 | 2007-12-18 |
| 1992984686 | Michael E Lynch Sr Md PC | Obstetrics & Gynecology | 230 W College St Ste A, Griffin, GA 30224-4249 | 2007-10-30 |
| 1770644650 | Robert H Weinfeld | Obstetrics & Gynecology | Dwight D. Eisenhower Army Medical Center, Bldg 300 Hospital Way, Ft. Gordon, GA 30905 | 2006-12-13 |
| 1073698197 | James D Woods | Obstetrics & Gynecology | 401 S Madison St, Albany, GA 31701-3111 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.