Provider Demographics
NPI:1194532796
Name:PALLIPAIN LLC
Entity type:Organization
Organization Name:PALLIPAIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KANWAR ZAMEER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:470-238-8996
Mailing Address - Street 1:PO BOX 1514
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30515-8514
Mailing Address - Country:US
Mailing Address - Phone:470-238-8996
Mailing Address - Fax:470-202-0144
Practice Address - Street 1:102 MARY ALICE PARK RD STE 503
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2697
Practice Address - Country:US
Practice Address - Phone:470-238-8996
Practice Address - Fax:470-202-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty