Interventional Pain Management/consulting | |
8737 Dunwoody Pl Atlanta GA 30350-2985 | |
(646) 441-0140 | |
Not Available |
Full Name | Interventional Pain Management/consulting |
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Speciality | Pain Medicine |
Location | 8737 Dunwoody Pl, Atlanta, Georgia |
Authorized Official Name and Position | David Katz (CEO) |
Authorized Official Contact | 6464410140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Interventional Pain Management/consulting 8737 Dunwoody Pl Atlanta GA 30350-2985 Ph: (646) 441-0140 | Interventional Pain Management/consulting 8737 Dunwoody Pl Atlanta GA 30350-2985 Ph: (646) 441-0140 |
NPI Number | 1861070492 |
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Provider Enumeration Date | 04/02/2021 |
Last Update Date | 02/09/2022 |
Medicare PECOS PAC ID | 5193124568 |
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Medicare Enrollment ID | O20210604002199 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861070492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
Provider Name | David Merab Katz |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1184900383 PECOS PAC ID: 8527342435 Enrollment ID: I20170221000768 |
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