Amanarh Albert Kisseih
Emergency Physician
1000 Medical Center Blvd
Lawrenceville
, Georgia 30045-7694
Amanarh Albert Kisseih
Emergency Physician
1000 Medical Center Blvd
Lawrenceville
, Georgia 30045-7694
(678) 442-4416
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Amanarh Albert Kisseih
- 1960 Silver Hill Rd
- Stone Mountain, GA
- Zip : 30087-1635
- Fax : (678) 442-4416
- Phone : (770) 270-0505
Second Address
- Amanarh Albert Kisseih
- 1000 Medical Center Blvd
- Lawrenceville, GA
- Zip : 30045-7694
- Fax : (678) 442-4416
- Phone : (678) 442-3317
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 020880 | GA |
National Provider Identifier
| NPI | 1013039064 |
|---|---|
| Provider Name | Amanarh Albert Kisseih |
| First Address | Stone Mountain, GA 30087-1635 |
| Second Address | Lawrenceville, GA 30045-7694 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00342702A | (05) | GA |
| D70512 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.