Individual
DR. AMENA M IMTIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 GLENLAKE PARKWAY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER, ATLANTA, GA 30328
(205) 934-5038
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(205) 587-9269
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
064832
GA
2084N0400X
Neurology Physician
2025031058
MO
Other
Enumeration date
05/03/2007
Last updated
09/12/2025
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