Organization
MACAGAIN
Active
Organization
MACAGAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID ANSARI (PRESIDENT)
(678) 386-1625
Entity
Organization
Contact information
Practice address
3650 SAVANNAH PL, DULUTH, GA 30096-4898
(206) 866-7605
Mailing address
3650 SAVANNAH PL, DULUTH, GA 30096-4898
(678) 386-1625
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
246RP1900X
Phlebotomy Technician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
03/30/2023
Update your record
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 at https://nppes.cms.hhs.gov.
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