Shiraz Habib Kassam

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

21321 Issued in GA

Legal business name

SHIRAZ HABIB KASSAM

Practice address

1380 Milstead Ave NE
Conyers, GA 30012-3864

Phone

(770) 922-2424

Fax

(770) 922-8782

NPI assigned

Feb 17, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Mubina Mawji

Title

Office Manager

Phone

(770) 922-2424

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Shiraz Habib Kassam, M.D.

  • Gynecology Physician
  • Conyers, GA
  • NPI 1265401020

  Obstetrics

  NPD (past)

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1295008563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 MILSTEAD AVE NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123864",
            "telephone_number": "770-922-2424",
            "fax_number": "770-922-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 MILSTEAD AVE NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123864",
            "telephone_number": "770-922-2424",
            "fax_number": "770-922-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRAZ HABIB KASSAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "MAWJI",
        "authorized_official_first_name": "MUBINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-922-2424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "GA",
            "license": "21321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000190506B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrena Monique Shields, LCSW
• Sonya Shields
• Satpal Shikh, D.M.D
• Brian Jung Hyun Shin, PT
• Shining Hearts ABA
• Syed Haider Shirazi, MD
• Patricia Whatley Showelll, LCSW
• Shreeji Pharmacy LLC
• Mark Shurett, DDS
• Willie Shy

• Obstetrics Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Obstetrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.