Provider Demographics
NPI:1699065557
Name:KABIR, MARIAM (MD-PHD)
Entity type:Individual
Prefix:DR
First Name:MARIAM
Middle Name:
Last Name:KABIR
Suffix:
Gender:F
Credentials:MD-PHD
Other - Prefix:DR
Other - First Name:MARIAM
Other - Middle Name:
Other - Last Name:KABIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD-PHD
Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7285
Mailing Address - Fax:
Practice Address - Street 1:20 GLENLAKE PKWY
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3473
Practice Address - Country:US
Practice Address - Phone:404-364-7285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD452052207R00000X
GA074585207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine