Individual
DR. GULZAR BAHADURALI KASSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, SUITE# 1060, ATLANTA, GA 30308-2247
(404) 581-0307
(404) 501-7713
Mailing address
2665 N DECATUR RD, SUITE 255, DECATUR, GA 30033-6149
(678) 904-1150
(404) 501-7713
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
015009
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000118951F
—
GA
05
—
000118951G
—
GA
Enumeration date
01/17/2007
Last updated
06/25/2015
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