| Kuraoka Clinic | |
|
100 Galleria Pkwy Se Suite 660 Atlanta GA 30339-3179 | |
| (770) 980-0000 | |
| (770) 217-4164 |
| Full Name | Kuraoka Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Galleria Pkwy Se, Atlanta, Georgia |
| Authorized Official Name and Position | Maki Kuraoka Rheaume (PRESIDENT) |
| Authorized Official Contact | 7709800000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuraoka Clinic 100 Galleria Paryway, S.e. Suite 660 Atlanta GA 30339 Ph: (770) 980-0000 | Kuraoka Clinic 100 Galleria Pkwy Se Suite 660 Atlanta GA 30339-3179 Ph: (770) 980-0000 |
| NPI Number | 1144543877 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Medicare PECOS PAC ID | 3173936820 |
|---|---|
| Medicare Enrollment ID | O20210119002206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144543877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 056473 (Georgia) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 054657 (Georgia) | Secondary |
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