Provider Demographics
NPI:1235580796
Name:US PUBLIC HEALTH SERVICE
Entity Type:Organization
Organization Name:US PUBLIC HEALTH SERVICE
Other - Org Name:CDC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TEAM LEAD
Authorized Official - Prefix:DR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:STRIKAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-639-6465
Mailing Address - Street 1:1600 CLIFTON RD NE
Mailing Address - Street 2:MAILSTOP A-19
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-4018
Mailing Address - Country:US
Mailing Address - Phone:404-639-8787
Mailing Address - Fax:
Practice Address - Street 1:1600 CLIFTON RD NE
Practice Address - Street 2:MAILSTOP A-19
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-4018
Practice Address - Country:US
Practice Address - Phone:404-639-8787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD07182251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare