Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre M Kallab, MD

Individual provider Hematology & Oncology Physician · NPI 1669475760

Andre M Kallab, MD is a Hematology/Oncology in Gainesville, Georgia. Qualified in 1992, 34 years ago. Practices with Northeast Georgia Diagnostic Associates and Clinic, LLC, a 81-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
34
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1240 Jesse Jewell Pkwy SE Ste 500
Gainesville, GA 30501-3861
Phone: (770) 287-0031
Fax: (770) 297-5034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 45259 (GA)

Record details

NPI number1669475760
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020
Mailing address1240 Jesse Jewell Pkwy Se, Suite 600, Gainesville, GA 30501-3862

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Northeast Georgia Diagnostic Associates And Clinic, Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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