Dr Mridula Puri, MD | |
445 Winn Way, Decatur, GA 30030-1707 | |
(404) 508-7700 | |
(404) 508-7733 |
Full Name | Dr Mridula Puri |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 445 Winn Way, Decatur, 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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1316061492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | GA20066 (Georgia) | Primary |
Entity Name | Dekalb Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073686978 PECOS PAC ID: 8527958487 Enrollment ID: O20040316001099 |
Mailing Address | Practice Location Address |
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Dr Mridula Puri, MD 445 Winn Way, Decatur, GA 30030-1707 Ph: (404) 508-7700 | Dr Mridula Puri, MD 445 Winn Way, Decatur, GA 30030-1707 Ph: (404) 508-7700 |
Dr. Jerome Massee Walker Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2665 North Decatur Rd, Ste 630, Decatur, GA 30033 Phone: 404-294-3040 Fax: 404-294-3050 | |
Dr. Walid Michel Nassif, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Dr. Sarah Elizabeth Derossett, M.D., PHD. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2665 N Decatur Rd, Ste 630, Decatur, GA 30033 Phone: 404-294-3040 Fax: 404-294-3050 | |
Dr. David Robert Baltzell, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Dr. Chikkanayak B Lokesh, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3836 | |
Marshall L. Nash, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2665 N Decatur Rd, Suite 540, Decatur, GA 30033 Phone: 404-508-4008 | |
Dr. Carmen Sofia Martinez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 445 Winn Way, Dekalb Community Service Board, Decatur, GA 30030 Phone: 404-508-7700 |