Individual provider · Type 1 NPI

Michael Kallab, CAA

Anesthesiologist Assistant · Gainesville, GA

NPI number 1699641407 Active

Practice location

743 Spring St NE
Gainesville, GA 30501-3899

Mailing address

1488 Jesse Jewell Pkwy SE Ste 201
Gainesville, GA 30501-3804

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant Primary 367H00000X13495 (GA)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1699641407

Michael Kallab, CAA's National Provider Identifier is 1699641407, issued on Oct 17, 2025. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Gainesville, GA. The record was last updated on Oct 17, 2025.