Provider Demographics
NPI:1821033127
Name:KASMIA, ABDEL H (MD)
Entity Type:Individual
Prefix:
First Name:ABDEL
Middle Name:H
Last Name:KASMIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 HOSPITAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2038
Mailing Address - Country:US
Mailing Address - Phone:251-990-1910
Mailing Address - Fax:251-990-1911
Practice Address - Street 1:188 HOSPITAL DR STE 300
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2038
Practice Address - Country:US
Practice Address - Phone:251-990-1910
Practice Address - Fax:251-990-1911
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00016221174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000031950Medicaid
515-46871OtherBCBS AL
AL510G700156OtherMEDICARE GROUP #
AL510I390007Medicare PIN
515-46871OtherBCBS AL
AL000031950Medicaid
AL000031950Medicare ID - Type Unspecified