KUKASWADIA P.C. – NPI #1548573884
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

KUKASWADIA P.C. is a psychiatry & neurologist located in DOUGLASVILLE, GA. NPPES has assigned the NPI number 1548573884 to KUKASWADIA P.C. on July 15, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 14 years ago on Jan 18, 2012. 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 KUKASWADIA P.C. below.

NPI Profile for
KUKASWADIA P.C.

NPI Number
1548573884
Enumeration Date

(about 16 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
KUKASWADIA P.C.
Primary location
4904 TIMBER RIDGE DR
SUITE 305
DOUGLASVILLE, GA 30135-1828
Phone: (678) 501-5420 Fax:
Mailing address
822 RIVERTON PARK PL SE
MABLETON, GA 30126-5685
Phone: (678) 501-5420 Fax:
Organization Subpart
No
Authorized Official
MOHAMMAD KUKASWADIA
PHYSICIAN
Phone: (678) 501-5420
Updated
Identifiers

Identifiers for KUKASWADIA P.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000757985L
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
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
GA 43997

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.