Provider Demographics
NPI:1306884754
Name:ABDEL-SAMED, GIHAN S (MD)
Entity type:Individual
Prefix:DR
First Name:GIHAN
Middle Name:S
Last Name:ABDEL-SAMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GIGI
Other - Middle Name:
Other - Last Name:SAMED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4210 PINESET DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6511
Mailing Address - Country:US
Mailing Address - Phone:404-556-3640
Mailing Address - Fax:
Practice Address - Street 1:12635 CRABAPPLE RD STE 140
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-5801
Practice Address - Country:US
Practice Address - Phone:404-556-3640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063018L207PE0004X
GA45376207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000799598LMedicaid
GA000799598LMedicaid
GA93BFBPNMedicare ID - Type Unspecified