NPI 1366904674
Innovmd LLC
Practice location
- Address
- 304 Turner McCall Blvd SW, Rome, GA 30165-5621
- Phone
- (516) 301-8155
- Mailing address
- 3 Central Plz # 353, Rome, GA 30161-3233
Authorised official
- Name
- Amarabalan Rajendran
- Title
- President
- Phone
- (516) 301-8155
Registered specialties
Pain Medicine (Anesthesiology) Physician
Primary
Registry record
- NPI
- 1366904674
- Entity type
- Organization
- NPI issued
- 4 Apr 2019
- Record last updated
- 27 Sep 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.