AZMI A KABBANI MD NPI 1376541078

NPI Information

NPI: 1376541078
Provider Name: AZMI A KABBANI, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
640 MARTIN LUTHER KING JR BLVD
SUITE 200
MACON, GA
ZIP 31201
Phone: (478) 745-5455
Get Directions

Azmi A Kabbani, MD is a nephrology internal medicine in Macon, GA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Azmi A Kabbani, MD NPI is 1376541078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

640 MARTIN LUTHER KING JR BLVD
SUITE 200
MACON, GA
ZIP 31201-206
Phone: (478) 745-5455
Fax: (478) 745-2915

The NPI 1376541078 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 2/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	31171	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000459445AK	MEDICAID	GEORGIA
2	000459445AE	MEDICAID	GEORGIA
3	000459445AC	MEDICAID	GEORGIA
4	39BDBQM	MEDICARE PIN	GEORGIA
5	110063832	OTHER		RAILROAD MEDICARE
6	028816	OTHER		BLUE CROSS
7	000459445AJ	MEDICAID	GEORGIA
8	000459445B	MEDICAID	GEORGIA
9	000459445D	MEDICAID	GEORGIA
10	000459445AD	MEDICAID	GEORGIA
11	000459445AI	MEDICAID	GEORGIA
12	000459445L	MEDICAID	GEORGIA
13	000459445AF	MEDICAID	GEORGIA
14	000459445P	MEDICAID	GEORGIA
15	000459445Z	MEDICAID	GEORGIA
16	E83823	MEDICARE UPIN
17	000459445AH	MEDICAID	GEORGIA
18	000459445AL	MEDICAID	GEORGIA
19	000459445M	MEDICAID	GEORGIA
20	000459445N	MEDICAID	GEORGIA
21	000459445AG	MEDICAID	GEORGIA
22	000459445C	MEDICAID	GEORGIA
23	000459445AB	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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