Amita N Dave, Md Pc

LBN: Amita N Dave, Md Pc
Amita N Dave, Md Pc is an health care organization with primary practice located at 3825 Medical Park Dr Suite 100, Austell GA 30106-6831. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Amita N Dave, Md Pc can be contacted via phone (770) 948-8680, or through Dave, Amita N via phone (770) 948-8680.

Contact Information

Primary practice address
3825 Medical Park Dr Suite 100 Austell GA 30106-6831
Phone: (770) 948-8680
Fax: (770) 944-1337
Website:
Map and Directions
Authorized official contact:
Name: Dave, Amita N Doctor of Medicine (MD)
Phone: (770) 948-8680

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 023724 Georgia

Profile Details

NPI number 1639436439
LBN Legal business name Amita N Dave, Md Pc
DBA Doing business as
Authorized official Dave, Amita N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2012
Last updated Apr 18th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639436439 NPPES
Other 003116112A MEDICAID PAYEE ID NUMBER
MEDICAID 000405402D MEDICAID PAYEE ID NUMBER

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