Provider Demographics
NPI:1538489893
Name:ABOLMAALI, KAMRAN (MD)
Entity Type:Individual
Prefix:
First Name:KAMRAN
Middle Name:
Last Name:ABOLMAALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11975 MORRIS RD STE 220
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4444
Mailing Address - Country:US
Mailing Address - Phone:404-781-9094
Mailing Address - Fax:770-733-1511
Practice Address - Street 1:1600 MEDICAL CENTER DR
Practice Address - Street 2:2500
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3656
Practice Address - Country:US
Practice Address - Phone:304-691-1200
Practice Address - Fax:304-691-1209
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2019-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA802552086S0122X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery