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NPI Code Detail

MEDICARE: MUHAMAD KAMIL OBIDEEN M.D

MEDICARE: MUHAMAD KAMIL OBIDEEN 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
1207RG0100XGastroenterology Physician053009GA

General Provider Information

NPI Number : 1326081647
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUHAMAD KAMIL OBIDEEN M.D
Provider Business Mailing Address
First Line : 622 HIGHLAND LAKE CIR
Second Line :
City : DECATUR
State : GA
Zip : 30033-3446
Country : US
Telephone Number : 404-329-0928
Fax Number :
Provider Business Practice Location Address
First Line : 1670 CLAIRMONT RD
Second Line : ATLANTA VA MEDICAL CENTER
City : DECATUR
State : GA
Zip : 30033-4004
Country : US
Telephone Number : 404-321-6111
Fax Number : 404-728-7746
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 01/19/2011

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