Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A94874 | CA |
NPI | 1023123932 |
---|---|
Provider Name | Kevin Nageeb Ammar |
First Address | Savannah, GA 31405-5810 |
Second Address | Savannah, GA 31405-5810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 11/09/2007 |