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NPI Code Detail

MEDICARE: ABIGAIL KAMISHLIAN M.D.

MEDICARE:   ABIGAIL  KAMISHLIAN  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
1208000000XPediatrics Physician044580GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2305675OTHERGAWELLCARE
358-1631879OTHERGATAX ID
4966369OTHERGABLUE CROSS BLUE SHIELD
5260699313OTHERGATAX ID
610038631OTHERGAAMERIGROUP
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477537322
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL KAMISHLIAN M.D.
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 : 12/05/2005
Last Update Date : 08/30/2013

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Directions to “ ABIGAIL KAMISHLIAN M.D.” Practice Location

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