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Contact Information

IMAD ABOSSALLUE, MD
1000 JOHNSON FERRY RD
ATLANTA, GA30342-1606
 Phone: 404-851-6323
 Fax: 404-303-3747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IMAD ABOSSALLUE · (Male)

NPI # 1134359599
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2009
Last updated 06/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME121864
  • GA License # 88214
  • MI License # 4301102046
  • MO License # 2009010810
Hospital affiliation(s)
  • WUESTHOFF MEDICAL CENTER ROCKLEDGE - (Acute Care)
    110 LONGWOOD AVE
    ROCKLEDGE, FL 32955
  • WUESTHOFF MEDICAL CENTER - MELBOURNE - (Acute Care)
    250 NORTH WICKHAM ROAD
    MELBOURNE, FL 32935
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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