Healthcare Provider Details

I. General information

NPI: 1356642664
Provider Name (Legal Business Name): MICHAEL E RINOW MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2010
Last Update Date: 11/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5780 PEACHTREE DUNWOODY RD NE STE 150
ATLANTA GA
30342
US

IV. Provider business mailing address

1879 OLD DOMINION DR
ATLANTA GA
30350
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-8135
  • Fax:
Mailing address:
  • Phone: 678-595-0153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number043272
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number043272
License Number StateGA

VIII. Authorized Official

Name: DR. MICHAEL EDWARD RINOW
Title or Position: MEDICAL DOCTOR
Credential:
Phone: 678-595-0153