National Provider Identifier Database

DANWANTRY MEDICAL IMAGING SERVICES LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

DANWANTRY MEDICAL & IMAGING SERVICES, LLC
4961 BUFORD HWY
SUITE 102
CHAMBLEE, GA30341-3503
Phone: 478-998-1471
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Body Imaging 2085B0100X
Diagnostic Radiology 2085R0202X
Diagnostic Ultrasound 2085U0001X
Nuclear Radiology 2085N0904X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for DANWANTRY MEDICAL & IMAGING SERVICES, LLC

NPI Number 1356559322
Legal business name
LBN
DANWANTRY MEDICAL & IMAGING SERVICES, LLC
Authorized official RAGHAVA BHASKARAN - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 05/21/2007
Last updated 11/23/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 025580

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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