Provider Demographics
NPI:1043386337
Name:AMERICAN PROSTHETICS & ORTHOTICS INC.
Entity Type:Organization
Organization Name:AMERICAN PROSTHETICS & ORTHOTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:HANIF
Authorized Official - Last Name:CHAUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:CP,BOCOP,FAAOP
Authorized Official - Phone:404-296-2088
Mailing Address - Street 1:1370 MONTREAL RD STE 185
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-8189
Mailing Address - Country:US
Mailing Address - Phone:404-296-2088
Mailing Address - Fax:404-299-2406
Practice Address - Street 1:1370 MONTREAL RD STE 185
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084
Practice Address - Country:US
Practice Address - Phone:404-296-2088
Practice Address - Fax:404-299-2406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000314443AMedicaid