MEDICARE: ALZHACARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	045997	GA

General Provider Information

NPI Number	:	1487074647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALZHACARE LLC

Provider Business Mailing Address
First Line	:	3229 HARMONY HILL TRCE
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-0103
Country	:	US
Telephone Number	:	706-290-1967
Fax Number	:

Provider Business Practice Location Address
First Line	:	3229 HARMONY HILL TRCE
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-0103
Country	:	US
Telephone Number	:	706-290-1967
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	SMITA VARSHNEY
Credential	:	M.D.
Telephone Number	:	706-290-1967

Provider Enumeration Date	:	04/25/2014
Last Update Date	:	07/19/2024

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