| Km Medicine, Llc | |
|
26 Willow Gln Atlanta GA 30342-1109 | |
| (404) 282-8363 | |
| Not Available |
| Full Name | Km Medicine, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 26 Willow Gln, Atlanta, Georgia |
| Authorized Official Name and Position | Madiha Memon (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4042828363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Km Medicine, Llc 26 Willow Gln Atlanta GA 30342-1109 Ph: () - | Km Medicine, Llc 26 Willow Gln Atlanta GA 30342-1109 Ph: (404) 282-8363 |
| NPI Number | 1982402913 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 06/14/2025 |
| Medicare PECOS PAC ID | 7618491192 |
|---|---|
| Medicare Enrollment ID | O20250406000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982402913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kamran Mohammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770088106 PECOS PAC ID: 5991057861 Enrollment ID: I20211207000055 |
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