Jivan, Nidha
Jivan, Nidha is an individual health care provider with primary practice located at 1800 Tree Ln Ste 250 , Snellville GA 30078-6799. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jivan, Nidha can be contacted via phone (770) 736-6300.Contact Information
Primary practice address
1800 Tree Ln Ste 250
Snellville GA 30078-6799
Phone: (770) 736-6300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 11663 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 11663 | Georgia |
Profile Details
| NPI number | 1902580772 |
|---|---|
| LBN Legal business name | Jivan, Nidha |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2023 |
| Last updated | Sep 22nd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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