| Amitha Dhingra Llc | |
|
2701 N Decatur Rd Decatur GA 30033-5918 | |
| (404) 501-1000 | |
| Not Available |
| Full Name | Amitha Dhingra Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2701 N Decatur Rd, Decatur, Georgia |
| Authorized Official Name and Position | Amitha Dhingra (DIRECTOR) |
| Authorized Official Contact | 4403645106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amitha Dhingra Llc Po Box 12109 Atlanta GA 30355-2109 Ph: (440) 364-5106 | Amitha Dhingra Llc 2701 N Decatur Rd Decatur GA 30033-5918 Ph: (404) 501-1000 |
| NPI Number | 1730705112 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 06/22/2020 |
| Certification Date | 06/22/2020 |
| Medicare PECOS PAC ID | 4385066877 |
|---|---|
| Medicare Enrollment ID | O20200630001703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730705112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Amitha Lauren Dhingra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962899500 PECOS PAC ID: 0244569820 Enrollment ID: I20190906001446 |
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