Dr Awan Khondoker Rahman, DO | |
1514 Vernon Rd, Lagrange, GA 30240-4131 | |
(706) 882-1411 | |
(770) 999-2819 |
Full Name | Dr Awan Khondoker Rahman |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 1514 Vernon Rd, Lagrange, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942735758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OT017698 (Pennsylvania) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 95368 (Georgia) | Primary |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Gslpg, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
Mailing Address | Practice Location Address |
---|---|
Dr Awan Khondoker Rahman, DO 1514 Vernon Rd, Lagrange, GA 30240-4131 Ph: (706) 882-1411 | Dr Awan Khondoker Rahman, DO 1514 Vernon Rd, Lagrange, GA 30240-4131 Ph: (706) 882-1411 |
Kenneth T Horlander, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091 | |
Ravina V Kadam, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Dr Ste 704, Lagrange, GA 30240 Phone: 706-880-7361 | |
Syed Abuzar Waseem Ahmed, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1602 Vernon Rd Ste 400, Lagrange, GA 30240 Phone: 706-882-9341 Fax: 706-884-0131 | |
Mr. Melhim Bou Alwan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471 | |
Dr. Ariyo Oluwole Olobatoke, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7222 Fax: 706-880-7223 | |
Priyesh R Patel, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471 | |
Dr. Brad Alan Bowyer, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7311 Fax: 706-880-7360 |