Dr Jay R Prakash, MD | |
6555 Professional Pl, Suite C, Riverdale, GA 30274-2519 | |
(770) 996-5959 | |
(770) 991-1596 |
Full Name | Dr Jay R Prakash |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 6555 Professional Pl, Riverdale, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003846635 | NPI | - | NPPES |
00292322A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 025986 (Georgia) | Primary |
Entity Name | Southern Gastroenterology Specialists, P.c |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952405052 PECOS PAC ID: 3577500214 Enrollment ID: O20050413001069 |
Mailing Address | Practice Location Address |
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Dr Jay R Prakash, MD 6555 Professional Pl, Suite C, Riverdale, GA 30274-2519 Ph: (770) 996-5959 | Dr Jay R Prakash, MD 6555 Professional Pl, Suite C, Riverdale, GA 30274-2519 Ph: (770) 996-5959 |
Dr. Hymavati Mikkilineni, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 483 Upper Riverdale Rd Sw, Suite B, Riverdale, GA 30274 Phone: 770-994-0242 Fax: 770-994-4386 | |
Paul L Harvey, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 483 Upper Riverdale Rd Sw Ste G, Riverdale, GA 30274 Phone: 770-996-9400 Fax: 770-991-2918 | |
Dr. Eloy Edilberto Diaz Sr., M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6572 River Park Dr Ste 102, Riverdale, GA 30274 Phone: 770-629-2296 | |
Rajinikanth Seshan, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 253 Upper Riverdale Rd Sw, Suite B, Riverdale, GA 30274 Phone: 216-533-8842 | |
Dr. Victor Ezinna Okeh, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 483 Upper Riverdale Rd Sw Ste F, Riverdale, GA 30274 Phone: 770-742-3883 Fax: 855-597-8504 | |
Dr. Michael Angel Dicristina, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 33 Upper Riverdale Rd Sw, Suite 21, Riverdale, GA 30274 Phone: 770-968-7933 Fax: 770-968-6521 |