Provider Demographics
NPI:1245222199
Name:ELGAMMAL, NAHED (MD)
Entity Type:Individual
Prefix:DR
First Name:NAHED
Middle Name:
Last Name:ELGAMMAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZIZI
Other - Middle Name:
Other - Last Name:ELGAMMAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:275 COLLIER RD NW
Mailing Address - Street 2:STE 100A
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1700
Mailing Address - Country:US
Mailing Address - Phone:404-605-8807
Mailing Address - Fax:404-605-8805
Practice Address - Street 1:1700 TREE LANE RD
Practice Address - Street 2:SUITE 290
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6782
Practice Address - Country:US
Practice Address - Phone:770-972-0330
Practice Address - Fax:770-985-2683
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047737207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
160059793OtherRAILROAD MEDICARE
GA439045112AMedicaid
GA98BBBBZMedicare ID - Type Unspecified
160059793OtherRAILROAD MEDICARE