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LEE BRIAN PADOVE M.D. LLC NPI 1083647507


NPI Information

NPI: 1083647507
Provider Name: LEE BRIAN PADOVE M.D. LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
960 JOHNSON FERRY RD NE
SUITE 336
ATLANTA, GA
ZIP 30342
Phone: (404) 252-7400
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LEE BRIAN PADOVE M.D. LLC is a cardiovascular disease internal medicine in Atlanta, GA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LEE BRIAN PADOVE M.D. LLC NPI is 1083647507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

960 JOHNSON FERRY RD NE
SUITE 336
ATLANTA, GA
ZIP 30342-631
Phone: (404) 252-7400
Fax: (404) 252-1772

The provider's authorized official is Lee Brian Padove .
The authorized official title is Physician and has the following contact phone number (404) 252-7400.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 8/22/2020.


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
1207RC0000XInternal MedicineCardiovascular Disease029748GEORGIAYes

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
100652253BMEDICAIDGEORGIA

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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