Organization
INNOVMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMARABALAN RAJENDRAN MD (PRESIDENT)
(516) 301-8155
Entity
Organization
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(516) 301-8155
Mailing address
3 CENTRAL PLZ # 353, ROME, GA 30161-3233
(516) 301-8155
(404) 393-5986
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2248
MEDICARE PTAN
GA
01
—
DZ3314
RRMEDICARE PTAN
GA
Enumeration date
04/04/2019
Last updated
09/27/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us