Basic Information
| Provider Information | |||||||||
| NPI: | 1073061891 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ADLAKHA | ||||||||
| FirstName: | SIMA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 535 COOPERS CLOSE | ||||||||
| Address2: | |||||||||
| City: | JOHNS CREEK | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300971786 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1505 NORTHSIDE BLVD STE 4600 | ||||||||
| Address2: | |||||||||
| City: | CUMMING | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300417658 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7702055292 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2016 | ||||||||
| LastUpdateDate: | 09/21/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835X0200X | 019709 | GA | Y | Pharmacy Service Providers | Pharmacist | Oncology |
No ID Information.