NADER A DBOUK (NPI# 1710199831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710199831 |
| Entity Type | Individual |
| Full Name | NADER A DBOUK |
| Credential | MD |
| Practice Address |
1501 Milstead Rd Ne Suite 120 Conyers GA 30012 |
| Mailing Address |
1355 Peachtree St Ne Ste 1600 Atlanta GA 30309-3276 |
| Practice Telephone | 6787453033 |
| Practice Fax Number | 6787453034 |
| Mailing Telephone | 6782237774 |
| Mailing Fax Number | 6782237799 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
065757 | GA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
48577 | TN | Allopathic & Osteopathic Physicians |
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
065757 | GA | Allopathic & Osteopathic Physicians |
| N | 207RT0003X |
Internal Medicine Specialization: Transplant Hepatology |
48577 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003176404A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 Peachtree St Ne Ste 1720, Atlanta, GA 303082262 | 4042536824 | 4042536825 |
| Street Address |
1501 MILSTEAD RD NE SUITE 120 |
| City | CONYERS |
| State | GA |
| Zip Code | 30012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215942941 | Georgia Cancer Specialists I PC | Internal Medicine | 1501 Milstead Rd Ne, Suite 110, Conyers, GA 30012-3835 | 2006-07-30 |
| 1043639545 | Meghana Bhatta Kumar | Internal Medicine | 1501 Milstead Rd Ne, Conyers, GA 30012-3838 | 2014-04-11 |
| 1932450004 | Nsh Cancer Institute Professional Services G, LLC | Durable Medical Equipment & Medical Supplies | 1501 Milstead Rd Ne, Suite 110, Conyers, GA 30012-3838 | 2012-09-28 |
| 1720314776 | Wilder Dialysis LLC | Clinic/Center | 1501 Milstead Rd Ne, Conyers, GA 30012-3838 | 2009-10-27 |
| 1861654840 | David S Rabin | Internal Medicine | 1501 Milstead Rd Ne, Ste 120, Conyers, GA 30012-3838 | 2008-06-30 |
| 1710198577 | Sherine J Thomas | Internal Medicine | 1501 Milstead Rd Ne, Suite 110, Conyers, GA 30012-3838 | 2007-05-24 |
| 1316163975 | Angelo J Rizzo | Physical Therapist | 1501 Milstead Rd Ne, Ste 170, Conyers, GA 30012-3838 | 2007-04-18 |
| 1609913318 | Southern Pain Institute PC | Pain Medicine | 1501 Milstead Rd Ne, Suite 140, Conyers, GA 30012-3838 | 2007-01-31 |
| 1962505743 | Therapeutic Solutions, Inc | Physical Therapist | 1501 Milstead Rd Ne, Ste 170, Conyers, GA 30012-3838 | 2006-09-06 |
| 1679686661 | Kevin H Peacock | Internal Medicine | 1501 Milstead Rd Ne, Suite 110, Conyers, GA 30012-3838 | 2006-08-16 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114260833 | Shahzad Ahmed | Internal Medicine | 1301 Sigman Rd Ne Ste 170, Conyers, GA 30012-3923 | 2013-04-01 |
| 1164448452 | Abraham Steven Mcintosh | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-13 |
| 1275872632 | Colon & Digestive Health Specialists LLC | Internal Medicine | 1380 Milstead Ave Ne, Ste C, Conyers, GA 30012-3864 | 2013-02-05 |
| 1598052094 | Eric D. Davis | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2011-07-05 |
| 1265693873 | Ekinadese Aburime | Internal Medicine | 1301 Sigman Rd Ne, Suite 190, Conyers, GA 30012-3812 | 2008-06-17 |
| 1700946258 | Karim Shakoor, M.d.,p.c. | Internal Medicine | 1380 Milstead Ave Ne, Suite-c, Conyers, GA 30012-3864 | 2006-12-12 |
| 1295824175 | David Neal Socoloff | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-10-11 |
| 1952412579 | Karim K Shakoor | Internal Medicine | 1380 Milstead Ave Ne, Suite C, Conyers, GA 30012-3864 | 2006-08-31 |
| 1942229729 | Karen Lynne Weiss-schorr | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-19 |
| 1962420083 | Fred Alan Levin | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-17 |
| Find all providers in CONYERS | ||||
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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.