Provider Type Icon

EAST ATLANTA CARDIOLOGY LLC NPI 1851611651


NPI Information

NPI: 1851611651
Provider Name: EAST ATLANTA CARDIOLOGY LLC

Former Legal Business Name: EAST ATLANTA CARDIOLOGY PC

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
5255 SNAPFINGER PARK DR
SUITE 130
DECATUR, GA
ZIP 30035
Phone: (770) 322-8881
Get Directions

EAST ATLANTA CARDIOLOGY LLC is a medical specialty clinic center in Decatur, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). EAST ATLANTA CARDIOLOGY LLC NPI is 1851611651. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is East Atlanta Cardiology Pc.

The provider's business location address is:

5255 SNAPFINGER PARK DR
SUITE 130
DECATUR, GA
ZIP 30035-084
Phone: (770) 322-8881
Fax: (770) 322-8886

The provider's authorized official is Muthayyah Srinivasan .
The authorized official title is Md, Ceo and has the following contact phone number (770) 322-8881.

The enumeration date for this NPI number is 6/3/2010 and was last updated on 6/3/2010.


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
1261QM2500XClinic/CenterMedical Specialty52836GEORGIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.