Amit V Tibrewala, MD | |
1505 Northside Forsyth Dr, Ste 3600, Cumming, GA 30041 | |
(770) 343-8565 | |
(770) 781-3559 |
Full Name | Amit V Tibrewala |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 1505 Northside Forsyth Dr, Cumming, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720275233 | NPI | - | NPPES |
003125698L | Medicaid | GA | |
003125698M | Medicaid | GA | |
003125698D | Medicaid | GA | |
003125698N | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | ME 108835 (Florida) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 068325 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Forsyth | Cumming, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Northside Hospital Cherokee | Canton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northside Cardiovascular Professional Services, Llc | 9739189838 | 84 |
Entity Name | Northside Cardiovascular Professional Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518979921 PECOS PAC ID: 9739189838 Enrollment ID: O20070112000232 |
Mailing Address | Practice Location Address |
---|---|
Amit V Tibrewala, MD 873 Brightwater Cir, Maitland, FL 32751-4233 Ph: (407) 284-1914 | Amit V Tibrewala, MD 1505 Northside Forsyth Dr, Ste 3600, Cumming, GA 30041 Ph: (770) 343-8565 |
Raghunath R Katragadda, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325 | |
Otto Goyco, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 900 Sanders Rd, Suite B, Cumming, GA 30041 Phone: 770-781-8840 Fax: 770-781-8098 | |
Ludy Lukose, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 407 East Maple Street, Suite 101, Cumming, GA 30040 Phone: 770-888-6697 Fax: 770-888-6698 | |
Dr. Arinze Hector Duru, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 | |
Dr. Jeffrey Desalvo, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325 | |
Dr. Fernando R. Alvarez-bognar, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 260 Elm St, Cumming, GA 30040 Phone: 770-887-1668 Fax: 770-781-9937 | |
Dr. Tyler Inchul An, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4150 Deputy Bill Cantrell Memorial Rd, Suite 290, Cumming, GA 30040 Phone: 404-446-0600 Fax: 404-446-0601 |