Indira Devu PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

052129 Issued in GA

Legal business name

INDIRA DEVU PC

Practice address

2520 Windy Hill Rd SE Ste 306
Marietta, GA 30067-8653

Phone

(770) 955-1814

Fax

(770) 955-2279

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Indira Devu, M.D.NPI 1871530139

Title

Physician

Phone

(770) 955-1814

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Indira Devu, MD

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1871530139
  Medicare reassignment NPD Authorized official
• Nassaratou Diaby, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
  • NPI 1154784551
  NPD
• Indira Malempati, M.D

  • Specialist
  • Marietta, GA
  • NPI 1407924277
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1366500050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE STE 306",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678653",
            "telephone_number": "770-955-1814",
            "fax_number": "770-955-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE STE 306",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678653",
            "telephone_number": "770-955-1814",
            "fax_number": "770-955-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIRA DEVU PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "DEVU",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-955-1814",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "052129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279474230B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Independent Physical Therapy of Georgia, LLC
• Independent Physical Therapy of Georgia, LLC
• Independent Physical Therapy of Georgia, LLC
• Independent Physical Therapy of Georgia, LLC
• Independent Specimen Services LLC
• Individual
• James Infanzon, MD
• Infinite Possibilities Psychotherapy Services, LLC
• Infinitely You Counseling, LLC
• Infinity Counseling LLC

• Specialist in Marietta, GA
• Providers in Marietta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.