| Amarabalan Rajendran, Md, Pc | |
|
3 Central Plz # 353 Rome GA 30161-3233 | |
| (516) 301-8155 | |
| (404) 393-5986 |
| Full Name | Amarabalan Rajendran, Md, Pc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 3 Central Plz # 353, Rome, Georgia |
| Authorized Official Name and Position | Amarabalan Rajendran (CEO) |
| Authorized Official Contact | 5163018155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amarabalan Rajendran, Md, Pc 3 Central Plz # 353 Rome GA 30161-3233 Ph: (516) 301-8155 | Amarabalan Rajendran, Md, Pc 3 Central Plz # 353 Rome GA 30161-3233 Ph: (516) 301-8155 |
| NPI Number | 1215482625 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 06/10/2020 |
| Medicare PECOS PAC ID | 5991091373 |
|---|---|
| Medicare Enrollment ID | O20160912000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215482625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Amarabalan Rajendran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962843680 PECOS PAC ID: 8224323134 Enrollment ID: I20160817000063 |
| Provider Name | Jeffery Adam Hemphill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639943764 PECOS PAC ID: 5395181333 Enrollment ID: I20240312003469 |
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