Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MAIN STREET INTERNAL MEDICINE & PEDIATRICS PC
Active
Organization
MAIN STREET INTERNAL MEDICINE & PEDIATRICS PC
Active
Other names
Main Street Pediatrics PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIBEL LABINDALAWA ANGKA SERVERA MD (PHYSICIAN)
(678) 205-2437
Entity
Organization
Contact information
Practice address
401 S MAIN ST, SUITE C5, ALPHARETTA, GA 30009-7960
(678) 205-2437
(678) 205-2439
Mailing address
401 S MAIN ST, SUITE C5, ALPHARETTA, GA 30009-7960
(678) 205-2437
(678) 205-2439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
047657
GA
208000000X
Pediatrics Physician
Primary
047388
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000860054D
—
GA
05
—
000884804C
—
GA
Enumeration date
02/05/2008
Last updated
01/22/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up