| Nak Union, Inc | |
|
5530 Old National Hwy Bldg C, Ste B College Park GA 30349 | |
| (678) 466-6511 | |
| (678) 466-6468 |
| Full Name | Nak Union, Inc |
|---|---|
| Speciality | Counselor |
| Location | 5530 Old National Hwy, College Park, Georgia |
| Authorized Official Name and Position | Nak Sylla Kake (CEO) |
| Authorized Official Contact | 6784666511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nak Union, Inc Po Box 1458 Fairburn GA 30213-8007 Ph: (678) 650-5274 | Nak Union, Inc 5530 Old National Hwy Bldg C, Ste B College Park GA 30349 Ph: (678) 466-6511 |
| NPI Number | 1174863047 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 03/08/2018 |
| Medicare PECOS PAC ID | 2769602861 |
|---|---|
| Medicare Enrollment ID | O20141010002216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174863047 | NPI | - | NPPES |
| Provider Name | Ranjan Avasthi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801068507 PECOS PAC ID: 1658540356 Enrollment ID: I20110815000741 |
| Provider Name | Syed A Imam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144413733 PECOS PAC ID: 7618147521 Enrollment ID: I20121011000218 |
| Provider Name | Kelsey M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700245602 PECOS PAC ID: 9830495936 Enrollment ID: I20160316001404 |
| Provider Name | Tikki Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972959716 PECOS PAC ID: 2466708623 Enrollment ID: I20180702002672 |
| Provider Name | Roxanna Barzegar-darvish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174291918 PECOS PAC ID: 1658760038 Enrollment ID: I20211105002651 |
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