| Buckhead Medical Llc Dba Northalke Medical Group | |
|
2296 Henderson Mill Rd Ne Suite 303 Atlanta GA 30345-2739 | |
| (404) 590-4420 | |
| Not Available |
| Full Name | Buckhead Medical Llc Dba Northalke Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2296 Henderson Mill Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Syed Rahman (CEO) |
| Authorized Official Contact | 4045904420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckhead Medical Llc Dba Northalke Medical Group 2296 Henderson Mill Rd Ne Suite 303 Atlanta GA 30345-2739 Ph: () - | Buckhead Medical Llc Dba Northalke Medical Group 2296 Henderson Mill Rd Ne Suite 303 Atlanta GA 30345-2739 Ph: (404) 590-4420 |
| NPI Number | 1871914648 |
|---|---|
| Provider Enumeration Date | 12/22/2013 |
| Last Update Date | 12/22/2013 |
| Medicare PECOS PAC ID | 5799917365 |
|---|---|
| Medicare Enrollment ID | O20140414000788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871914648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Syed Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568420081 PECOS PAC ID: 1951320803 Enrollment ID: I20051121000555 |
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