Southeast Kidney Associates
LBN: Atlanta South Nephrology,Pc
Southeast Kidney Associates is an health care organization with primary practice located at 1275 Cleveland Ave , East Point GA 30344-3433. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Ambulatory Health Care Facilities / Clinic/Center. Other Service Providers / Legal Medicine is the primary health care specialty.
Atlanta South Nephrology,Pc can be contacted via phone (404) 761-0819, or through Muhammedi, Muhammed A via phone (404) 761-0819.
Contact Information
Primary practice address
1275 Cleveland Ave
East Point GA 30344-3433
Phone: (404) 761-0819
Fax: (047) 682-3134
Website:
Authorized official contact:
Name: Muhammedi, Muhammed A Doctor of Medicine (MD)
Phone: (404) 761-0819
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1922145788 |
|---|---|
| LBN Legal business name | Atlanta South Nephrology,Pc |
| DBA Doing business as | Southeast Kidney Associates |
| Authorized official | Muhammedi, Muhammed A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Oct 23rd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922145788 | NPPES |
| Georgia | MEDICAID | 0441911A | |
| Georgia | MEDICAID | 57785870A | |
| Georgia | MEDICAID | 157444445A |
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