DUNWOODY PROFESSIONAL MEDICAL INC
NPI 1902064595
Clinic/Center in Dunwoody, GA

Q: What is Dunwoody Professional Medical Inc's NPI number?

The NPI number for Dunwoody Professional Medical Inc is 1902064595. It was assigned to this organization in the NPPES registry on May 30, 2008.

Q: What is Dunwoody Professional Medical Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 30, 2008

4480 N SHALLOWFORD RD, DUNWOODY, GA 30338(770) 455-8285(770) 350-8973 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dunwoody Professional Medical Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUNWOODY PROFESSIONAL MEDICAL INC (NPI 1902064595) is a healthcare organization registered as a clinic/center in Dunwoody, Georgia and active in the NPI registry since May 2008. The organization lists Moinuddin Kazi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902064595

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameDUNWOODY PROFESSIONAL MEDICAL INC

Location Address4480 N SHALLOWFORD RDDunwoody, GA 30338-6410

Mailing Address2803 Priestcliff DrSmyrna, GA 30080-2195 · (770) 455-8285 · Fax (770) 350-8973

Phone(770) 455-8285

Fax(770) 350-8973

Organization SubpartNo

Authorized OfficialMoinuddin KaziCeo · (770) 455-8285

Enumeration DateMay 30, 2008

Last NPPES UpdateDecember 8, 2009

✔ NPI 1902064595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in GA · 042868

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4480 N SHALLOWFORD RD, Dunwoody, GA 30338

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Other Identifiers 2

Medicaid000776432EGA

Medicare PIN08BBVTGGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MOINUDDIN KAZI MD

Family Medicine

4480 N SHALLOWFORD RD, STE 200
DUNWOODY, GA 30338

Dekalb County (770) 455-8285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dunwoody Professional Medical Inc's NPI number?

The NPI number for Dunwoody Professional Medical Inc is 1902064595. It was assigned to this organization in the NPPES registry on May 30, 2008.

Where is Dunwoody Professional Medical Inc located?

Dunwoody Professional Medical Inc is located at 4480 N Shallowford Rd, Dunwoody, GA 30338. The listed phone number is (770) 455-8285.

What is Dunwoody Professional Medical Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Dunwoody Professional Medical Inc was last updated on December 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.