| Ikaa | |
|
2150 Peachford Rd Ste T Atlanta GA 30338-6539 | |
| (404) 947-5316 | |
| (404) 796-7645 |
| Full Name | Ikaa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2150 Peachford Rd Ste T, Atlanta, Georgia |
| Authorized Official Name and Position | Asad Mehdi (CEO) |
| Authorized Official Contact | 4049475316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikaa 2150 Peachford Rd Ste T Atlanta GA 30338-6539 Ph: (404) 947-5316 | Ikaa 2150 Peachford Rd Ste T Atlanta GA 30338-6539 Ph: (404) 947-5316 |
| NPI Number | 1255752994 |
|---|---|
| Provider Enumeration Date | 12/24/2013 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Medicare PECOS PAC ID | 1456576412 |
|---|---|
| Medicare Enrollment ID | O20140707001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255752994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 64414 (Georgia) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Secondary |
| Provider Name | Sofia Aman Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841227592 PECOS PAC ID: 3870520505 Enrollment ID: I20050804000518 |
| Provider Name | Asad Mehdi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578779898 PECOS PAC ID: 0941343370 Enrollment ID: I20100921001298 |
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