Himot, Edward David

Himot, Edward David is an individual health care provider with primary practice located at 55 Whitcher St Ne Ste 460, Marietta GA 30060-1171. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Himot, Edward David can be contacted via phone (770) 427-7389.

Contact Information

Primary practice address
55 Whitcher St Ne Ste 460 Marietta GA 30060-1171
Phone: (770) 427-7389
Fax: (770) 427-2845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 018388 Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X GA018388 Georgia

Profile Details

NPI number 1639173248
LBN Legal business name Himot, Edward David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Aug 1st, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639173248 NPPES
Georgia MEDICAID 000135231F
Georgia MEDICAID 000135231T
Georgia MEDICAID 000135231U
Georgia MEDICAID 000135231H
Georgia MEDICAID 000135231Y
Georgia MEDICAID 000135231L
Georgia MEDICAID 000135231V
Georgia MEDICAID 000135231M
Georgia MEDICAID 00135231A
Georgia MEDICAID 000135231J
Georgia MEDICAID 000135231K
Georgia MEDICAID 000135231W
Georgia MEDICAID 000135231R
Georgia MEDICAID 000135231X
Georgia MEDICAID 000135231E
Georgia MEDICAID 000135231S

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