Provider Demographics
NPI:1124299557
Name:THE CENTER FOR INTEGRATIVE HEALTH, INC.
Entity type:Organization
Organization Name:THE CENTER FOR INTEGRATIVE HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AYESHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-255-5774
Mailing Address - Street 1:11660 ALPHARETTA HWY STE 285
Mailing Address - Street 2:SUITE 350
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-3876
Mailing Address - Country:US
Mailing Address - Phone:404-255-5774
Mailing Address - Fax:
Practice Address - Street 1:11660 ALPHARETTA HWY
Practice Address - Street 2:SUITE 285
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4943
Practice Address - Country:US
Practice Address - Phone:404-255-5774
Practice Address - Fax:404-255-5994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA024784207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP4802Medicare PIN