Dr Madhusudan Chandora, MD | |
833 N Hairston Rd, Stone Mountain, GA 30083-3423 | |
(770) 879-5553 | |
Not Available |
Full Name | Dr Madhusudan Chandora |
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Gender | Male |
Speciality | Internal Medicine |
Location | 833 N Hairston Rd, Stone Mountain, 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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1376682971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 038143 (Georgia) | Primary |
Entity Name | Prince Avenue Primary Care, L.l.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386676211 PECOS PAC ID: 4688668346 Enrollment ID: O20040414000612 |
Mailing Address | Practice Location Address |
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Dr Madhusudan Chandora, MD 833 N Hairston Rd, Stone Mountain, GA 30083-3423 Ph: () - | Dr Madhusudan Chandora, MD 833 N Hairston Rd, Stone Mountain, GA 30083-3423 Ph: (770) 879-5553 |
Nilusha Hirani, Internal Medicine Medicare: Medicare Enrolled Practice Location: 931 Oakwood Chase Cir, Stone Mountain, GA 30083 Phone: 631-906-9403 | |
Jill Wener, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1551 Juliette Dr, Stone Mountain, GA 30083 Phone: 678-639-2416 | |
Dr. Virginia Davis Floyd, MD, MPH Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1546 Kings Xing, Stone Mountain, GA 30087 Phone: 770-564-3458 Fax: 770-564-3218 | |
Dr. Taneisha Nacoya Benjamin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1192 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-925-2010 | |
Dr. Lisa Carolina Robbins, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1324 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-564-1399 Fax: 770-564-1231 | |
Nicholas Kemdi Ihenacho, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5329 Memorial Dr, Suite A, Stone Mountain, GA 30083 Phone: 404-296-7695 Fax: 404-296-7696 |