Chidambaram Raghavan Md
LBN: West Cobb Internal Medicine Pc
Chidambaram Raghavan Md is an health care organization with primary practice located at 5041 Dallas Hwy Bldg 2 Suite E West Cobb Internal Medicine Pc, Powder Springs GA 30127. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
West Cobb Internal Medicine Pc can be contacted via phone (770) 218-1880, or through Raghavan, Chidambaram via phone (770) 218-1880.
Contact Information
Primary practice address
5041 Dallas Hwy Bldg 2 Suite E West Cobb Internal Medicine Pc
Powder Springs GA 30127
Phone: (770) 218-1880
Fax: (770) 218-1088
Website:
Authorized official contact:
Name: Raghavan, Chidambaram Doctor of Medicine (MD)
Phone: (770) 218-1880
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38709 | Georgia |
Profile Details
| NPI number | 1467524330 |
|---|---|
| LBN Legal business name | West Cobb Internal Medicine Pc |
| DBA Doing business as | Chidambaram Raghavan Md |
| Authorized official | Raghavan, Chidambaram Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Apr 20th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467524330 | NPPES |
| Georgia | MEDICAID | 00626117A | |
| Georgia | Other | 4562104 | |
| Georgia | Other | 0400005 | |
| Georgia | Other | 617437 |
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