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REGIONAL INFECTIOUS DISEASES AND INFUSION CENTER INC NPI 1649209214


NPI Information

NPI: 1649209214
Provider Name: REGIONAL INFECTIOUS DISEASES AND INFUSION CENTER INC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 11D2297560

Address:
505 JENKINS ST
LAGRANGE, GA
ZIP 30240
Phone: (706) 739-7789
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REGIONAL INFECTIOUS DISEASES AND INFUSION CENTER INC is an infectious disease internal medicine in Lagrange, GA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. REGIONAL INFECTIOUS DISEASES AND INFUSION CENTER INC NPI is 1649209214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 JENKINS ST
LAGRANGE, GA
ZIP 30240-225
Phone: (706) 739-7789
Fax: (706) 739-7789

The provider's authorized official is Ravi Kamepalli .
The authorized official title is Physician/owner and has the following contact phone number (567) 204-0745.

The CLIA number assigned to this NPI record is 11D2297560 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 5/5/2023.


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
1207RI0200XInternal MedicineInfectious Disease35066788OHIONo
2207RI0200XInternal MedicineInfectious DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003232464IMEDICAIDGEORGIA
2G187324214OTHERGEORGIAMEDICARE

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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