MEDICARE: ABDULLAH KHALIFAH ALMEHBASH 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	207P00000X	Emergency Medicine Physician	77074	GA
2	207P00000X	Emergency Medicine Physician	84428	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1700226545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDULLAH KHALIFAH ALMEHBASH MD

Provider Business Mailing Address
First Line	:	699 BROAD ST STE 6000
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30901-1863
Country	:	US
Telephone Number	:	706-250-8186
Fax Number	:	706-446-0018

Provider Business Practice Location Address
First Line	:	699 BROAD ST STE 6000
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30901-1863
Country	:	US
Telephone Number	:	706-250-8186
Fax Number	:	706-446-0018

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

Provider Enumeration Date	:	06/25/2013
Last Update Date	:	04/23/2026

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