Dr Reza H Sutandi, MD | |
1404 River Pl Ste 303, Braselton, GA 30517-5600 | |
(770) 848-9335 | |
Not Available |
Full Name | Dr Reza H Sutandi |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 28 Years |
Location | 1404 River Pl Ste 303, Braselton, 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 |
---|---|---|---|
1639146087 | NPI | - | NPPES |
2193666 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 35077882 (Ohio) | Secondary |
207V00000X | Obstetrics & Gynecology | 66908 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Georgia Physicians Group Inc | 6901898386 | 651 |
Entity Name | Northeast Georgia Physicians Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Mailing Address | Practice Location Address |
---|---|
Dr Reza H Sutandi, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Dr Reza H Sutandi, MD 1404 River Pl Ste 303, Braselton, GA 30517-5600 Ph: (770) 848-9335 |
Kathryn Elise Parris, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 303, Braselton, GA 30517 Phone: 770-848-9335 | |
Mr. David Holt Harrison, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 303, Braselton, GA 30517 Phone: 770-848-9335 | |
Kimberly Michell Barrett, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 303, Braselton, GA 30517 Phone: 770-848-9335 |