MEDICARE: DR. MAHMOUD H ABDOU 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
1	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	073423	GA
2	207R00000X	Internal Medicine Physician	73423	GA
3	207RC0000X	Cardiovascular Disease Physician	73423	GA

General Provider Information

NPI Number	:	1518283282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAHMOUD H ABDOU MD

Provider Business Mailing Address
First Line	:	1365 CLIFTON RD NE BLDG A2ND
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-778-5299
Fax Number	:	404-778-4557

Provider Business Practice Location Address
First Line	:	1365 CLIFTON RD NE BLDG A2ND
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-3466
Country	:	US
Telephone Number	:	404-778-5299
Fax Number	:	404-778-4557

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2010
Last Update Date	:	06/15/2026

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