Atlanta Cardiology Primary Care PC
Organization Active NPI Internal Medicine Physician · Tucker, GA
NPI 1629277017 · NPPES record last updated Jul 16, 2007
Key facts
- NPI
- 1629277017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 047506 (GA)
- Legal business name
- ATLANTA CARDIOLOGY PRIMARY CARE PC
- Practice address
- 3562 Habersham at Northlake
Building J
Tucker, GA 30084-4009 - Phone
- (404) 296-1130
- Fax
- (404) 296-1132
- NPI assigned
- Jul 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Bobby V Khan, M.D.
- Title
- Owner
- Phone
- (404) 296-1130
National Provider Directory
Locations
4151 Memorial Dr
Ste 105
Decatur, GA 30032
Phone (404) 296-1130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 047506 | GA | Yes |
| Cardiovascular Disease Physician |
207RC0000X | 037251 | GA |
Addresses
Primary practice location
3562 Habersham at Northlake
Building J
Tucker, GA 30084-4009
Mailing address
3562 Habersham at Northlake
Building J
Tucker, GA 30084-4009
Phone (404) 296-1130
Other names
- Atlanta CArdiology and Primary Care PC
Other providers in Tucker, GA
- Aspire Allied Healthcare
- Alem M Assefa
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- Atlanta Back Clinic - Orthopedic Phys Therapy & Training Ctr Inc
- Atlanta Cardiology and Primary Care PC
- Atlanta Clinical Research Center
- Atlanta Dermatology & Surgery P.a.
- Atlanta Emergency Dental Center
- Atlanta Emergency Dental PC
- Atlanta GYN Center
All providers in Tucker, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.