Provider Demographics
NPI:1881460236
Name:HEMEN PADHIAR MD, PC
Entity type:Organization
Organization Name:HEMEN PADHIAR MD, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PADHIAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-898-8388
Mailing Address - Street 1:1400 NORTHSIDE FORSYTH DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7668
Mailing Address - Country:US
Mailing Address - Phone:770-898-8388
Mailing Address - Fax:770-898-8389
Practice Address - Street 1:1400 NORTHSIDE FORSYTH DR STE 200
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7668
Practice Address - Country:US
Practice Address - Phone:770-898-8388
Practice Address - Fax:770-898-8389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty