| Atlanta Behavioral Medicine Llc | |
|
308 Maxwell Road Suite 600 Alpharetta GA 30009 | |
| (678) 205-4322 | |
| (678) 205-5131 |
| Full Name | Atlanta Behavioral Medicine Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 308 Maxwell Road, Alpharetta, Georgia |
| Authorized Official Name and Position | Mohammad Ahmad (PRESIDENT) |
| Authorized Official Contact | 4044340058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Behavioral Medicine Llc 308 Maxwell Rd Ste 600 Alpharetta GA 30009 Ph: (678) 205-4322 | Atlanta Behavioral Medicine Llc 308 Maxwell Road Suite 600 Alpharetta GA 30009 Ph: (678) 205-4322 |
| NPI Number | 1093873812 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 6002801081 |
|---|---|
| Medicare Enrollment ID | O20040419000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093873812 | NPI | - | NPPES |
| 043841 | Other | GA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rukhsana Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164507679 PECOS PAC ID: 1456257351 Enrollment ID: I20050221000111 |
| Provider Name | Mohammad Ahmad |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1831273036 PECOS PAC ID: 6901805985 Enrollment ID: I20120424000299 |
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