WEST COBB INTERNAL MEDICINE PC NPI 1467524330

NPI Information

  • NPI: 1467524330
  • Provider Name: WEST COBB INTERNAL MEDICINE PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Other Name: CHIDAMBARAM RAGHAVAN MD
  • CLIA Number: 11D0959730
  • Address: 5041 DALLAS HWY
    BLDG 2 SUITE E WEST COBB INTERNAL MEDICINE PC
    POWDER SPRINGS, GA
    ZIP 30127
  • Phone: (770) 218-1880

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NPI Details

WEST COBB INTERNAL MEDICINE PC is an internal medicine in Powder Springs, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WEST COBB INTERNAL MEDICINE PC NPI is 1467524330. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Chidambaram Raghavan Md.

The provider's business location address is:

5041 DALLAS HWY
BLDG 2 SUITE E WEST COBB INTERNAL MEDICINE PC
POWDER SPRINGS, GA
ZIP 30127
Phone: (770) 218-1880
Fax: (770) 218-1088

The provider's authorized official is Chidambaram Raghavan .
The authorized official title is Medical Director and has the following contact phone number (770) 218-1880.

The CLIA number assigned to this NPI record is 11D0959730 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 4/20/2008.

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
1207R00000XInternal Medicine38709GEORGIAYes

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
14562104OTHERGEORGIAAETNA
200626117AMEDICAIDGEORGIA
30400005OTHERGEORGIAUNITED HEALTHCARE
4F74841MEDICARE UPIN
511BDMWQMEDICARE PINGEORGIA
6=========OTHERGEORGIACIGNA
7617437OTHERGEORGIABCBS

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: 11/21/2025

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