Shiraz H Kassam


Address: 1380 Milstead Neave, B, Conyers, GA 30012-3864
Phone: 7709222424

Shiraz H Kassam (NPI# 1265401020, PAC ID# 0941343719) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1265401020
PAC ID by PECOS 0941343719
Professional Enrollment ID I20100202000158
Full Name Shiraz H Kassam
Address 1380 Milstead Neave
B
Conyers
GA 30012-3864
Phone Number 7709222424
Gender M
Graduation Year 1963
Primary Specialty OBSTETRICS/GYNECOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110091 PIEDMONT ROCKDALE HOSPITAL

Other Locations

Address Phone Organization
1380 Milstead Neave, B, Conyers, GA 30012-3864 7709222424

Organization Information

Office Location

Street Address 1380 MILSTEAD NEAVE
B
City CONYERS
State GA
Zip 30012-3864

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Ekundayo A Falase Nephrology Eastside Premier Nephrology and Hypertension PC 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738
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Neil A Trossevin Physician Assistant Georgia Urology, Pa 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812
Allen A Futral Urology Georgia Urology, Pa 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812
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Froylan C Gonzales Urology Georgia Urology, Pa 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812
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Competitor

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City CONYERS
Zip Code 30012
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty CONYERS + OBSTETRICS/GYNECOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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