Health Star Family Medicine

LBN: Maddineni Holdings Llc
Health Star Family Medicine is an health care organization with primary practice located at 4485 Tench Rd Suite No 120, Suwanee GA 30024-6739. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Maddineni Holdings Llc can be contacted via phone (770) 932-7605, or through Musunuru, Usha via phone (770) 932-7605.

Contact Information

Primary practice address
4485 Tench Rd Suite No 120 Suwanee GA 30024-6739
Phone: (770) 932-7605
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Musunuru, Usha Doctor of Medicine (MD)
Phone: (770) 932-7605

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 055265 Georgia

Profile Details

NPI number 1497953582
LBN Legal business name Maddineni Holdings Llc
DBA Doing business as Health Star Family Medicine
Authorized official Musunuru, Usha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2007
Last updated Mar 22nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497953582 NPPES
Georgia Other 511G701213 MEDICARE RAILROAD
Georgia Other APPLIED FOR MEDICARE RAILROAD

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