MEDICARE: TELEM HEALTHCARE 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	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1417731449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TELEM HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1201 W PEACHTREE ST NW # 845382
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3449
Country	:	US
Telephone Number	:	770-299-9291
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 W PEACHTREE ST NW # 845382
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3449
Country	:	US
Telephone Number	:	770-299-9291
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	USAMA KHALID
Credential	:	MD
Telephone Number	:	678-476-2335

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	06/23/2025

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