Kamal C. Kabakibou, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

42621 Issued in GA

Legal business name

KAMAL C. KABAKIBOU, MD, PC

Practice address

3193 Howell Mill Rd NW
Ste. #317
Atlanta, GA 30327-2119

Phone

(404) 603-9090

Fax

(404) 603-9634

NPI assigned

Nov 9, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kamal C. Kabakibou, M.D.NPI 1356427850

Title

President

Phone

(404) 603-9090

Specialties & licenses 1

Addresses

Other names 1

• The Center for Pain Management Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kamal C Kabakibou, M.D.

  • Specialist
  • Atlanta, GA
  • NPI 1356427850
  Medicare reassignment Care Compare group NPD Authorized official
• Kathleen Cuneo Bradford, NP

  • Gerontology Nurse Practitioner
  • Atlanta, GA
  • NPI 1881820009
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1245531102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "STE. #317",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-603-9090",
            "fax_number": "404-603-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "STE. #317",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-603-9090",
            "fax_number": "404-603-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMAL C. KABAKIBOU, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "KABAKIBOU",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-603-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "42621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Pain Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheri-Ann Olivia Kaltiso
• Marian Barton Kalvert, LPC
• Adam Kalwerisky, M.D.
• Anna M Kalynych, MD
• Nadia Kamagate, D.O.
• Salmaan Zaki Kamal
• Sarah Kamal
• Sarah Kamara
• Thomas Kamarad, ATC
• Lily Madhavi Kamat

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.