Provider Demographics
NPI:1710570320
Name:ATLAS HEALTH CARE 1
Entity Type:Organization
Organization Name:ATLAS HEALTH CARE 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:MEHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:POURIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-565-8498
Mailing Address - Street 1:377 CHELSEA ST
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3431
Mailing Address - Country:US
Mailing Address - Phone:925-565-8498
Mailing Address - Fax:
Practice Address - Street 1:189 ROUTE 100
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-2811
Practice Address - Country:US
Practice Address - Phone:925-565-8498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care