MIDHA MEDICAL CLINIC – NPI #1649579046
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MIDHA MEDICAL CLINIC is a provider located in TUCKER, GA. NPPES has assigned the NPI number 1649579046 to MIDHA MEDICAL CLINIC on March 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Nov 03, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIDHA MEDICAL CLINIC below.

NPI Profile for
MIDHA MEDICAL CLINIC

NPI Number
1649579046
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIDHA MEDICAL CLINIC
Primary location
1404 MONTREAL RD
TUCKER, GA 30084
Phone: (770) 492-8665 Fax: (770) 492-8663
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RAJU MIDHA
SOLE MEMBER
Phone: (770) 492-8665
Updated
Certification Date
Nov 02, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
GA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.