Rika Medical Clinic, LLC.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

026530 Issued in GA

Legal business name

RIKA MEDICAL CLINIC, LLC.

Practice address

6131 S Norcross Tucker Rd
Suite E600
Norcross, GA 30093-5536

Phone

(678) 205-1959

Fax

(678) 205-2092

NPI assigned

Jun 12, 2012

Organization subpart

No

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

Authorized official

Name

Ravi Manchireddy

Title

Practice Manager

Phone

(678) 205-1959

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Rika Medical Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rika Medical Clinic, LLC

  • Family Nurse Practitioner
  • Norcross, GA
  • NPI 1982011359
  NPD tax ID

Locations

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1609138999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MEDICAL BLVD",
            "address_2": "SUITE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815053",
            "telephone_number": "678-289-4901",
            "fax_number": "678-289-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 S NORCROSS TUCKER RD",
            "address_2": "SUITE E600",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935536",
            "telephone_number": "678-205-1959",
            "fax_number": "678-205-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIKA MEDICAL CLINIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "MANCHIREDDY",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "678-205-1959"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "026530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000639834AC",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig I Rich, PH.D.
• Richard L. Gregg, D.C., P.C. (Norcross Health & Physical Medicine)
• Mariana Riera
• Rika Medical Clinic (Sai Medical Center)
• Rika Medical Clinic, LLC
• Reginald B. Riley, PH.D.
• Hannah Rinehart, LPC
• Martha Rios
• Kirstin Twite Risse, DMD
• Marcos Rivera

• Pediatrics Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.