Provider Demographics
NPI:1366903643
Name:ATRIUM INPATIENT MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:ATRIUM INPATIENT MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TAX ID OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEEJADI
Authorized Official - Middle Name:N
Authorized Official - Last Name:MUKUNDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-449-1540
Mailing Address - Street 1:395 E SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-3660
Mailing Address - Country:US
Mailing Address - Phone:440-488-2300
Mailing Address - Fax:440-596-4860
Practice Address - Street 1:395 E SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44143-3660
Practice Address - Country:US
Practice Address - Phone:440-449-1540
Practice Address - Fax:440-460-2833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty