Provider Demographics
NPI:1154557767
Name:DBOUK, REEMA HAMID (MD)
Entity type:Individual
Prefix:DR
First Name:REEMA
Middle Name:HAMID
Last Name:DBOUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REEMA
Other - Middle Name:
Other - Last Name:HAMID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1364 CLIFTON RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1059
Mailing Address - Country:US
Mailing Address - Phone:404-616-3117
Mailing Address - Fax:404-525-2957
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:404-616-3117
Practice Address - Fax:404-525-2957
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12015207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine