Midha Medical Clinic

LBN: Midha Medical Clinic
Midha Medical Clinic is an health care organization with primary practice located at 1404 Montreal Rd , Tucker GA 30084. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Midha Medical Clinic can be contacted via phone (770) 492-8665, or through Midha, Raju via phone (770) 492-8665.

Contact Information

Primary practice address
1404 Montreal Rd Tucker GA 30084
Phone: (770) 492-8665
Fax: (770) 492-8663
Website:
Map and Directions
Authorized official contact:
Name: Midha, Raju Doctor of Medicine (MD)
Phone: (770) 492-8665

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Georgia

Profile Details

NPI number 1649579046
LBN Legal business name Midha Medical Clinic
DBA Doing business as
Authorized official Midha, Raju Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2011
Last updated Nov 3rd, 2020 - about 5 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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