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ASTHMA ALLERGY AND IMMUNOLOGY CLINIC LLC NPI 1154080786


NPI Information

NPI: 1154080786
Provider Name: ASTHMA ALLERGY AND IMMUNOLOGY CLINIC LLC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
147 N PARK TRL
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 489-7901
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ASTHMA ALLERGY AND IMMUNOLOGY CLINIC LLC is an allergy immunology in Stockbridge, GA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. ASTHMA ALLERGY AND IMMUNOLOGY CLINIC LLC NPI is 1154080786. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

147 N PARK TRL
STOCKBRIDGE, GA
ZIP 30281-373
Phone: (678) 489-7901
Fax: (833) 559-0864

The provider's authorized official is Hosamane S Prabhakara .
The authorized official title is President and has the following contact phone number (678) 489-7901.

The enumeration date for this NPI number is 12/10/2021 and was last updated on 4/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergyNo
2207K00000XAllergy & ImmunologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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