Doctor Name: | DR. FAREED Z KADUM |
NPI Number: | 1760495840 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 22993 |
Business Practice Address: | 962 Joe Frank Harris Pkwy, Suite 202 Cartersville, GA - 301202142 |
Business Phone Number: | 7703348818 |
Business Fax Number: | 7703348819 |
Mailing Address: | Po Box 76, ACWORTH |
State: | GA |
Postal Code: | 301010076 |
Phone Number: | 7706553736 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 01/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 22993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |