Individual
AMEL KOMIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2237 KEYSTONE CIR, ANDOVER, KS 67002-8742
(316) 616-6272
(316) 616-0407
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2503
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7512
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
04-52512
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD493544
PA
Other
Enumeration date
06/30/2015
Last updated
05/07/2026
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