Provider Demographics
NPI:1437266202
Name:AAMER, MAHBOOB (M D)
Entity type:Individual
Prefix:DR
First Name:MAHBOOB
Middle Name:
Last Name:AAMER
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11795 NORTHFALL LN
Mailing Address - Street 2:SUITE 602
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-7968
Mailing Address - Country:US
Mailing Address - Phone:770-569-2727
Mailing Address - Fax:
Practice Address - Street 1:3905 BROOKSIDE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-4458
Practice Address - Country:US
Practice Address - Phone:770-442-1911
Practice Address - Fax:770-442-0306
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038158207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00708485EMedicaid
GAG27431Medicare UPIN
GA39BDCBPMedicare ID - Type Unspecified