Individual
MR. GHULAM GHOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2712 LAWRENCEVILLE HWY, DECATUR, GA 30033-2512
(770) 496-5555
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019024548
MO
207RH0003X
Hematology & Oncology Physician
Primary
103789
GA
207RH0003X
Hematology & Oncology Physician
2019024548
MO
208M00000X
Hospitalist Physician
2019024548
MO
Other
Enumeration date
04/19/2016
Last updated
07/22/2025
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