| Airport Primary Care & Imaging Center | |
|
3305 Bobby Brown Pkwy Atlanta GA 30344-5012 | |
| (404) 806-8181 | |
| (770) 456-5469 |
| Full Name | Airport Primary Care & Imaging Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3305 Bobby Brown Pkwy, Atlanta, Georgia |
| Authorized Official Name and Position | Shashikant A Daya (PRESIDENT) |
| Authorized Official Contact | 6784716073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Airport Primary Care & Imaging Center 3305 Bobby Brown Pkwy Atlanta GA 30344-5012 Ph: (404) 806-8181 | Airport Primary Care & Imaging Center 3305 Bobby Brown Pkwy Atlanta GA 30344-5012 Ph: (404) 806-8181 |
| NPI Number | 1699771410 |
|---|---|
| Provider Enumeration Date | 06/27/2005 |
| Last Update Date | 03/06/2017 |
| Medicare PECOS PAC ID | 1052358884 |
|---|---|
| Medicare Enrollment ID | O20050413000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699771410 | NPI | - | NPPES |
| 360335904B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 037520 (Georgia) | Primary |
| Provider Name | Shashikant A Daya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760512016 PECOS PAC ID: 5698712321 Enrollment ID: I20050418000247 |
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