IndividualActive
Andre Kallab, M.D.
NPI 1669475760 · Hematology & Oncology Physician · Gainesville, GA
Provider details
- NPI number
- 1669475760
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 45259 (GA)
Practice location
1240 Jesse Jewell Pkwy Se
Ste 500
Gainesville, GA 30501-3861
Phone: (770) 287-0031
Fax: (770) 297-5034
Mailing address
1240 Jesse Jewell Pkwy Se
Gainesville, GA 30501-3862
Registry dates
- Enumerated
- 2005-05-23
- Last updated
- 2020-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.