Most Relevant Information
Provider Data
NPI Number: | 1003201336 |
Provider Name: | OMAR NABIL KALLAS M.D. |
Entity Type: | Individual |
Taxonomy Code: | 2085R0202X |
Specialty: | Radiology |
License Number: | 84802 |
Most Important Dates
Enumeration Date: | 04/03/2015 |
Last Updated: | 06/10/2020 |
Provider Practice Location
1364 CLIFTON ROAD
DEPARTMENT OF RADIOLOGY AND IMAGING SCIENCES
ATLANTA
GA
30322
Practice Location Phone/Fax
Phone: | 4047783900 |
Fax: |
Provider Mailing Location
1364 CLIFTON RD NE
DEPARTMENT OF RADIOLOGY AND IMAGING SCIENCES
ATLANTA
GA
303221059
Provider Mailing Phone/Fax
Phone: | |
Fax: |