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DR. SHIRAZ HABIB KASSAM M.D.
NPI 1265401020
Obstetrics & Gynecology - Gynecology in Conyers, GA

Active since March 15, 2006
1380 MILSTEAD AVE NE STE B, CONYERS, GA 30012(770) 922-2424(770) 922-8782 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 8, 2017 (3 updates tracked since 2017).

About Dr. Shiraz Habib Kassam M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHIRAZ HABIB KASSAM M.D. (NPI 1265401020) is an individual gynecology provider in Conyers, Georgia, licensed in Georgia (21321) and active in the NPI registry since March 2006. He maintains a secondary practice location in Conyers.

NPPES Registry Identity

NPI1265401020
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. SHIRAZ HABIB KASSAMCredential: M.D.
Location Address1380 MILSTEAD AVE NE STE BConyers, GA 30012-3864
Mailing Address1380 Milstead Ave Ne Ste BConyers, GA 30012-3864 · (770) 922-2424 · Fax (770) 922-8782
Phone(770) 922-2424
Fax(770) 922-8782
Sole ProprietorYes
Enumeration DateMarch 15, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1265401020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in GA · 21321
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 21321 (GA)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 21321 (GA)
1380 MILSTEAD AVE NE STE B, Conyers, GA 30012
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Secondary Practice Location 1

Location 11309 Milstead Rd NE, Suite AConyers, GA 30012-3874 · Phone (770) 922-2424 · Fax (770) 922-8782

Other Identifiers 1

Medicaid000190506BGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shiraz Kassam's NPI number?

The NPI number for Shiraz Kassam is 1265401020. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Shiraz Kassam located?

Shiraz Kassam practices at 1380 Milstead Ave NE Ste B, Conyers, GA 30012. The listed phone number is (770) 922-2424.

What is Shiraz Kassam's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Shiraz Kassam was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.