# OM PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Om Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841800679
- **Authorized official:** DR. KINJAL AMIT KACHALIA MBBS MBA (DIRECTOR)
- **Authorized official phone:** (470) 416-3424

## Contact information

- **Practice address:** 4300 WESTBROOK RD BLDG A, SUWANEE, GA 30024-4987
- **Practice address phone:** (470) 416-3424
- **Mailing address:** 220 NEWPORT FAIRWAY, ALPHARETTA, GA 30005-7825
- **Mailing address phone:** (470) 416-3424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/06/2020
- **Last updated:** 08/06/2020