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Contact Information

INFECTIOUS DISEASES & INTERNATIONAL MEDICINE LLC
1514 VERNON RD
LAGRANGE, GA30240-4131
 Phone: 708-489-9005
 Fax: 844-443-3963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INFECTIOUS DISEASES & INTERNATIONAL MEDICINE LLC

NPI # 1265003347
LBN Legal business name INFECTIOUS DISEASES & INTERNATIONAL MEDICINE LLC
Authorized official NISHA ARAVINDAKSHAN PATEL - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2021
Last updated 03/23/2022 - About 4 years ago
Identifiers
GA Other 1942527478 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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