MEDICARE: ABDEL H KASMIA 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	174400000X	Specialist	00016221	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	510G700156	OTHER	AL	MEDICARE GROUP #

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
2	515-46871	OTHER		BCBS AL

General Provider Information

NPI Number	:	1821033127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDEL H KASMIA MD

Provider Business Mailing Address
First Line	:	188 HOSPITAL DR STE 300
Second Line	:
City	:	FAIRHOPE
State	:	AL
Zip	:	36532-2038
Country	:	US
Telephone Number	:	251-990-1910
Fax Number	:	251-990-1911

Provider Business Practice Location Address
First Line	:	188 HOSPITAL DR STE 300
Second Line	:
City	:	FAIRHOPE
State	:	AL
Zip	:	36532-2038
Country	:	US
Telephone Number	:	251-990-1910
Fax Number	:	251-990-1911

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

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	05/01/2008

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Directions to “ ABDEL H KASMIA MD” Practice Location

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