Bakane, Neela R
Bakane, Neela R is an individual health care provider with primary practice located at 10160 Medlock Bridge Rd Suie 100, Johns Creek GA 30097-4419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bakane, Neela R can be contacted via phone (678) 387-1600.Contact Information
Primary practice address
10160 Medlock Bridge Rd Suie 100
Johns Creek GA 30097-4419
Phone: (678) 387-1600
Fax: (678) 344-8600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 056973 | Georgia |
Profile Details
| NPI number | 1811088842 |
|---|---|
| LBN Legal business name | Bakane, Neela R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Apr 19th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811088842 | NPPES |
| Georgia | Other | 056973 | MEDICAL LISENCE |
| Georgia | Other | 010211131 | MEDICAL LISENCE |
| Georgia | MEDICAID | 010211131 | MEDICAL LISENCE |
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