Dr David Romesh Persaud, MD | |
772 Maddox Dr, Ste. 122, East Ellijay, GA 30540-8196 | |
(706) 635-6898 | |
(706) 635-6888 |
Full Name | Dr David Romesh Persaud |
---|---|
Gender | Male |
Speciality | Family Medicine - Geriatric Medicine |
Location | 772 Maddox Dr, East Ellijay, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609087527 | NPI | - | NPPES |
003143127A | Medicaid | GA | |
202I087630 | Other | GA | MEDICARE PTAN |
1035769 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | 70703 (Georgia) | Primary |
Entity Name | Gulfview Medical Institute Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851680789 PECOS PAC ID: 9335327139 Enrollment ID: O20110627000398 |
Mailing Address | Practice Location Address |
---|---|
Dr David Romesh Persaud, MD 165 Blue Ridge Overlook, Blue Ridge, GA 30513-4431 Ph: (706) 946-5600 | Dr David Romesh Persaud, MD 772 Maddox Dr, Ste. 122, East Ellijay, GA 30540-8196 Ph: (706) 635-6898 |
Daniela Maria Rojas-molina, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 772 Maddox Dr Ste 122, East Ellijay, GA 30540 Phone: 706-635-6898 Fax: 706-356-6885 | |
Anne Berry Todd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 Highland Pkwy Ste 101, East Ellijay, GA 30540 Phone: 706-698-8400 Fax: 706-698-8401 | |
Dr. Islam G Eltarawy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Hefner St, Suite 202, East Ellijay, GA 30540 Phone: 706-635-1400 Fax: 706-635-1411 | |
Dr. Thomas A Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Hefner St Ste 202, East Ellijay, GA 30540 Phone: 706-635-5177 Fax: 706-635-5171 | |
Dr. Asim Kidwai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Hefner St, Suite 202, East Ellijay, GA 30540 Phone: 706-635-1400 Fax: 706-635-1411 | |
Susan J Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 772 Maddox Dr Ste 122, East Ellijay, GA 30540 Phone: 706-635-6898 Fax: 706-635-6885 |