Kukaswadia P.C.

LBN: Kukaswadia P.C.
Kukaswadia P.C. is an health care organization with primary practice located at 4904 Timber Ridge Dr Suite 305, Douglasville GA 30135-1828. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Kukaswadia P.C. can be contacted via phone (678) 501-5420, or through Kukaswadia, Mohammad A via phone (678) 501-5420.

Contact Information

Primary practice address
4904 Timber Ridge Dr Suite 305 Douglasville GA 30135-1828
Fax:
Website:
Authorized official contact:
Name: Kukaswadia, Mohammad A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 43997 Georgia

Profile Details

NPI number 1548573884
LBN Legal business name Kukaswadia P.C.
DBA Doing business as
Authorized official Kukaswadia, Mohammad A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2010
Last updated Jan 18th, 2012 - 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 1548573884 NPPES
Georgia MEDICAID 000757985L

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