Darradji, Mounir
Darradji, Mounir is an sole proprietor health care provider with primary practice located at 1019 Winding Ridge Ct , Atlanta GA 30338-3949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Darradji, Mounir can be contacted via phone (770) 888-2524.Contact Information
Primary practice address
1019 Winding Ridge Ct
Atlanta GA 30338-3949
Phone: (770) 888-2524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 48998 | Georgia |
Profile Details
| NPI number | 1649382060 |
|---|---|
| LBN Legal business name | Darradji, Mounir |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 2nd, 2008 - about 17 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 | 1649382060 | NPPES |
| Georgia | Other | 110228627 | MEDICARE RAILROAD |
| Georgia | MEDICAID | 000913371A | MEDICARE RAILROAD |
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