Provider Demographics
NPI:1225675812
Name:KARE ASC, LLC
Entity Type:Organization
Organization Name:KARE ASC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMISH
Authorized Official - Middle Name:
Authorized Official - Last Name:TILARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-878-4555
Mailing Address - Street 1:600 PROFESSIONAL DR STE 160A
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-8717
Mailing Address - Country:US
Mailing Address - Phone:678-878-4555
Mailing Address - Fax:678-878-4556
Practice Address - Street 1:4165 OLD MILTON PKWY STE 150B
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4477
Practice Address - Country:US
Practice Address - Phone:678-878-4555
Practice Address - Fax:678-878-4556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty