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NPI Code Detail

MEDICARE: DR. SALMA ELMUBARAK ELKHABIER MD

MEDICARE: DR. SALMA ELMUBARAK ELKHABIER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician64790GA

General Provider Information

NPI Number : 1033383799
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALMA ELMUBARAK ELKHABIER MD
Provider Business Mailing Address
First Line : 4905 COURTNEY DR
Second Line :
City : FOREST PARK
State : GA
Zip : 30297-1427
Country : US
Telephone Number : 404-366-3636
Fax Number : 404-362-0808
Provider Business Practice Location Address
First Line : 4905 COURTNEY DR
Second Line :
City : FOREST PARK
State : GA
Zip : 30297-1427
Country : US
Telephone Number : 404-366-3636
Fax Number : 404-362-0808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2008
Last Update Date : 11/20/2013

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