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NPI Code Detail

MEDICARE: AZEEM SALIM KAKA M.D.

MEDICARE: AZEEM SALIM KAKA M.D.
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
1207Y00000XOtolaryngology Physician80762GA
2207YX0007XPlastic Surgery within the Head & Neck (Otolaryngology) Physician80762GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205181351
Entity Type Code : Individual
Provider Name (Legal Business Name) : AZEEM SALIM KAKA M.D.
Provider Business Mailing Address
First Line : 550 PEACHTREE ST NE STE 1135
Second Line :
City : ATLANTA
State : GA
Zip : 30308-2234
Country : US
Telephone Number : 404-778-3381
Fax Number :
Provider Business Practice Location Address
First Line : 550 PEACHTREE ST NE STE 1135
Second Line :
City : ATLANTA
State : GA
Zip : 30308-2234
Country : US
Telephone Number : 404-778-3381
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2012
Last Update Date : 03/16/2023

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Directions to “ AZEEM SALIM KAKA M.D.” Practice Location

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