AMINA MEDICAL CONSULTANTS PC NPI 1780083188

NPI Information

NPI: 1780083188
Provider Name: AMINA MEDICAL CONSULTANTS PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2077958

Address:
2840 NORTHEAST EXPY NE
SUITE#116
ATLANTA, GA
ZIP 30345
Phone: (404) 929-1402
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AMINA MEDICAL CONSULTANTS PC is a primary care clinic center in Atlanta, GA. AMINA MEDICAL CONSULTANTS PC NPI is 1780083188. The provider is registered as an organization entity type.

The provider's business location address is:

2840 NORTHEAST EXPY NE
SUITE#116
ATLANTA, GA
ZIP 30345-214
Phone: (404) 929-1402
Fax: (404) 929-1406

The provider's authorized official is Amina Hassanali .
The authorized official title is Owner and has the following contact phone number (404) 610-8821.

The CLIA number assigned to this NPI record is 11D2077958 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2014 and was last updated on 8/21/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	45494	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000806935E	MEDICAID	GEORGIA
2	H00373	MEDICARE UPIN	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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