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PEACHTREE NEPHROLOGY PC NPI 1841565355


NPI Information

NPI: 1841565355
Provider Name: PEACHTREE NEPHROLOGY PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
5673 PEACHTREE DUNWOODY RD NE
SUITE 600
ATLANTA, GA
ZIP 30342
Phone: (404) 410-3970
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PEACHTREE NEPHROLOGY PC is a nephrology internal medicine in Atlanta, GA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. PEACHTREE NEPHROLOGY PC NPI is 1841565355. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5673 PEACHTREE DUNWOODY RD NE
SUITE 600
ATLANTA, GA
ZIP 30342-731
Phone: (404) 410-3970
Fax: (404) 256-0040

The provider's authorized official is Anupama Gowda .
The authorized official title is Owner and has the following contact phone number (404) 410-3970.

The enumeration date for this NPI number is 3/16/2012 and was last updated on 3/16/2012.


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
1207RN0300XInternal MedicineNephrology053746GEORGIAYes

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
1I03313MEDICARE UPINGEORGIA

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

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