Angel M Cobiella, MD MBA | |
750 Townpark Lane, Internal Medicine Health Care Team A, Kennesaw, GA 30144 | |
(770) 514-5403 | |
(770) 514-5493 |
Full Name | Angel M Cobiella |
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Gender | Male |
Speciality | Internal Medicine |
Location | 750 Townpark Lane, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1174633077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 026842 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Angel M Cobiella, MD MBA 3495 Piedmont Road Ne, Nine Piedmont Center, Atlanta, GA 30305-1736 Ph: (404) 364-7000 | Angel M Cobiella, MD MBA 750 Townpark Lane, Internal Medicine Health Care Team A, Kennesaw, GA 30144 Ph: (770) 514-5403 |
Mridula Vinjamuri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 187 Chastain Rd Ne, Suite 250, Kennesaw, GA 30144 Phone: 770-218-6450 | |
Ahmed Babar, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2985 Mack Dobbs Rd Nw, Kennesaw, GA 30152 Phone: 770-268-4011 | |
Dr. Marshall Fleurant, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 Phone: 770-514-5401 Fax: 617-414-1577 | |
Dr. Ndidiamaka O Obadan, M.D.,MS Internal Medicine Medicare: Medicare Enrolled Practice Location: 3105 Creekside Village Dr Nw Ste 801, Kennesaw, GA 30144 Phone: 404-566-4623 | |
Abhiyan Jung Bista, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 129 Mccook Way Nw, Kennesaw, GA 30144 Phone: 404-405-6426 | |
Alfred L Knox Jr., MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 750 Town Park Lane, Internal Medicine Health Care Team A, Kennesaw, GA 30144 Phone: 770-514-5403 Fax: 770-514-5493 |