OrganizationActive
Asthma Allergy and Immunology Clinic LLC
NPI 1154080786 · Allergy & Immunology Physician · Stockbridge, GA
Provider details
- NPI number
- 1154080786
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Hosamane Prabhakara, President
Practice location
147 N Park Trl
Stockbridge, GA 30281-7373
Phone: (678) 489-7901
Fax: (833) 559-0864
Mailing address
756 Peninsula Overlook
Hampton, GA 30228-6062
Registry dates
- Enumerated
- 2021-12-10
- Last updated
- 2022-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.