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INDIRA DEVU PC NPI 1366500050


NPI Information

NPI: 1366500050
Provider Name: INDIRA DEVU PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2520 WINDY HILL RD SE STE 306
MARIETTA, GA
ZIP 30067
Phone: (770) 955-1814
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INDIRA DEVU PC is a specialist in Marietta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INDIRA DEVU PC NPI is 1366500050. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2520 WINDY HILL RD SE STE 306
MARIETTA, GA
ZIP 30067-653
Phone: (770) 955-1814
Fax: (770) 955-2279

The provider's authorized official is Indira Devu .
The authorized official title is Physician and has the following contact phone number (770) 955-1814.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 10/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist052129GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H88534MEDICARE UPINGEORGIA
211SCDTGMEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE
3279474230BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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