Provider Demographics
NPI:1306205281
Name:ATLAS VISITING PHYSICIANS, INC
Entity Type:Organization
Organization Name:ATLAS VISITING PHYSICIANS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VARTKES
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAKISORDSHAHI
Authorized Official - Suffix:
Authorized Official - Credentials:TECHNICIAN
Authorized Official - Phone:847-338-0383
Mailing Address - Street 1:1420 VALWOOD PKWY
Mailing Address - Street 2:SUITE 20-170A
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-8312
Mailing Address - Country:US
Mailing Address - Phone:847-338-0383
Mailing Address - Fax:214-614-4244
Practice Address - Street 1:1420 VALWOOD PKWY
Practice Address - Street 2:SUITE 20-170A
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-8312
Practice Address - Country:US
Practice Address - Phone:847-338-0383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-19
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty