| Amina Medical Consultants Pc | |
|
2840 Northeast Expy Ne Suite#116 Atlanta GA 30345-4214 | |
| (404) 929-1402 | |
| (404) 929-1406 |
| Full Name | Amina Medical Consultants Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2840 Northeast Expy Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Amina Hassanali (OWNER) |
| Authorized Official Contact | 4046108821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amina Medical Consultants Pc 2840 Ne Expy Ne Suite#116 Atlanta GA 30345-4214 Ph: (404) 929-1402 | Amina Medical Consultants Pc 2840 Northeast Expy Ne Suite#116 Atlanta GA 30345-4214 Ph: (404) 929-1402 |
| NPI Number | 1780083188 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Medicare PECOS PAC ID | 2163642232 |
|---|---|
| Medicare Enrollment ID | O20141013002543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780083188 | NPI | - | NPPES |
| 000806935E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 45494 (Georgia) | Primary |
| Provider Name | Amina Hassanali |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124013495 PECOS PAC ID: 3072733146 Enrollment ID: I20141013002546 |
| Provider Name | Farah R Mufti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851687990 PECOS PAC ID: 3678853090 Enrollment ID: I20161201000109 |
| Provider Name | Neena Bhatia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376022434 PECOS PAC ID: 3072846104 Enrollment ID: I20190605000962 |
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