Provider Demographics
NPI:1962910679
Name:AMERICAN PROFESSIONAL ASSOCIATES LLC
Entity type:Organization
Organization Name:AMERICAN PROFESSIONAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:RAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-255-7442
Mailing Address - Street 1:3330 PRESTON RIDGE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4509
Mailing Address - Country:US
Mailing Address - Phone:770-350-0126
Mailing Address - Fax:770-512-8937
Practice Address - Street 1:33 UPPER RIVERDALE RD SW STE 105
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2642
Practice Address - Country:US
Practice Address - Phone:404-522-6569
Practice Address - Fax:404-522-8265
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN PROFESSIONAL ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty