Provider Demographics
NPI:1760749014
Name:REGMEE, KABITA (MD)
Entity Type:Individual
Prefix:
First Name:KABITA
Middle Name:
Last Name:REGMEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 N BROAD ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-2191
Mailing Address - Country:US
Mailing Address - Phone:770-867-4146
Mailing Address - Fax:770-867-3742
Practice Address - Street 1:314 N BROAD ST
Practice Address - Street 2:SUITE 250
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-2191
Practice Address - Country:US
Practice Address - Phone:770-867-4146
Practice Address - Fax:770-867-3742
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA074565207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program