Individual
DR. KHALED ALI QASEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3073 DUNN ST SE, SMYRNA, GA 30080-4470
(478) 892-3189
(478) 892-3189
Mailing address
3073 DUNN ST SE, SMYRNA, GA 30080-4470
(478) 892-3189
(478) 892-3189
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
025816
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00275195A
—
GA
Enumeration date
04/13/2007
Last updated
06/14/2012
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