Dr Reaz Siddiqui, MD | |
3921 Shallowford Rd, Marietta, GA 30062-5013 | |
(770) 649-0049 | |
(770) 649-9092 |
Full Name | Dr Reaz Siddiqui |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 3921 Shallowford Rd, Marietta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295797223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0063087 (Maryland) | Secondary |
207R00000X | Internal Medicine | 63733 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Wellstar North Fulton Hospital | Roswell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Dr Reaz Siddiqui, MD 1816 Pemberton Pl, Marietta, GA 30062-8126 Ph: (770) 518-4199 | Dr Reaz Siddiqui, MD 3921 Shallowford Rd, Marietta, GA 30062-5013 Ph: (770) 649-0049 |
Anu Kurl, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 Tower Rd Ne Ste 160, Marietta, GA 30060 Phone: 770-420-1690 Fax: 770-420-1661 | |
Dr. Saba Amajd Munir, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 55 Whitcher St Ne Ste 460, Marietta, GA 30060 Phone: 770-427-7389 | |
Dr. Sharon M Odell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Tower Rd Ne, Marietta, GA 30060 Phone: 770-427-4682 Fax: 770-499-8562 | |
Dr. Helga Annalina Bahr, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 580 Atlanta Country Club Drive, Marietta, GA 30068 Phone: 770-988-8554 | |
Dr. Kaynessa Celena Providence, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Tower Rd Ne, Marietta, GA 30060 Phone: 770-427-4682 Fax: 770-499-8562 | |
Dr. Ryan V Cantwell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Kennestone Hospital Blvd, Suite 201, Marietta, GA 30060 Phone: 770-427-2457 Fax: 770-427-2706 | |
Dr. Joanne Zhiwen Zhu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne # 111, Marietta, GA 30060 Phone: 770-793-7750 |