Organization Active NPI

Lalikan Med LLC

  • Internal Medicine Physician
  • Tucker, GA
National Provider Identifier
1235515321
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47896 Issued in GA
Legal business name
LALIKAN MED LLC
Practice address
2926 Mountain Industrial Blvd
Tucker, GA 30084-3012
Phone
(678) 860-5415
NPI assigned
Jul 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Syamala Devi Erramilli, M.D
Title
President
Phone
(678) 860-5416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 47896 GA Primary

Addresses

Primary practice location

2926 Mountain Industrial Blvd
Tucker, GA 30084-3012

Mailing address

5944 Norfolk Chase Rd
Peachtree Corners, GA 30092-3516
Phone (678) 860-5415

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1235515321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 NORFOLK CHASE RD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923516",
            "telephone_number": "678-860-5415",
            "fax_number": "678-971-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 MOUNTAIN INDUSTRIAL BLVD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843012",
            "telephone_number": "678-860-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALIKAN MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "ERRAMILLI",
        "authorized_official_first_name": "SYAMALA",
        "authorized_official_middle_name": "DEVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-860-5416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "47896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.