Dekalb Internal Medicine Associates, Pc

LBN: Dekalb Internal Medicine Associates, Pc
Dekalb Internal Medicine Associates, Pc is an health care organization with primary practice located at 1980 Montreal Rd , Tucker GA 30084-5217. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Dekalb Internal Medicine Associates, Pc can be contacted via phone (770) 270-4060, or through Mohamed, Ali M via phone (770) 270-4060.

Contact Information

Primary practice address
1980 Montreal Rd Tucker GA 30084-5217
Phone: (770) 270-4060
Fax: (770) 270-4061
Website:
Map and Directions
Authorized official contact:
Name: Mohamed, Ali M Doctor of Medicine (MD)
Phone: (770) 270-4060

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 046623 Georgia

Profile Details

NPI number 1255615852
LBN Legal business name Dekalb Internal Medicine Associates, Pc
DBA Doing business as
Authorized official Mohamed, Ali M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2011
Last updated Oct 1st, 2011 - about 13 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 1255615852 NPPES
Georgia MEDICAID 00815075B

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