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NPI Code Detail

MEDICARE: HATEM OSAMA KASEB M.D.,PHD, MPH

MEDICARE: HATEM OSAMA KASEB M.D.,PHD, MPH
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianME158666FL

General Provider Information

NPI Number : 1568811594
Entity Type Code : Individual
Provider Name (Legal Business Name) : HATEM OSAMA KASEB M.D.,PHD, MPH
Provider Business Mailing Address
First Line : PO BOX 741087
Second Line :
City : ATLANTA
State : GA
Zip : 30374-1087
Country : US
Telephone Number : 689-216-8150
Fax Number : 689-216-8931
Provider Business Practice Location Address
First Line : 6700 LAKE NONA BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7729
Country : US
Telephone Number : 689-216-8150
Fax Number : 689-216-8931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2016
Last Update Date : 02/06/2023

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