Organization
RADIOLOGY ASSOCIATES OF DEKALB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAMOD KAILA MD (AUTHORIZED OFFICIAL)
(404) 564-5400
Entity
Organization
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 564-5400
(404) 564-5403
Mailing address
PO BOX 1316, INDIANAPOLIS, IN 46206-1316
(877) 440-0479
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022027
—
GA
Enumeration date
02/28/2006
Last updated
06/20/2013
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