Dr Shourong Zhao, MD | |
11 Upper Riverdale Rd Sw, Pathology Dept, Riverdale, GA 30274-2615 | |
(678) 423-1550 | |
Not Available |
Full Name | Dr Shourong Zhao |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 39 Years |
Location | 11 Upper Riverdale Rd Sw, Riverdale, 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 |
---|---|---|---|
1851308225 | NPI | - | NPPES |
146707510A | Medicaid | GA | |
058248 | Other | GA | STATE LICENSE |
60045007 | Other | AL | BCBS |
60105169 | Other | AL | BCBS |
60105170 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 058248 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital | Atlanta, GA | Hospital |
Southeastern Regional Medical Center | Newnan, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pathology And Laboratory Medicine, Pc | 1254323991 | 28 |
Ctca Physicians Group Of Georgia, Llc. | 4880841212 | 109 |
Entity Name | Pathology And Laboratory Medicine, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649494816 PECOS PAC ID: 1254323991 Enrollment ID: O20040401000717 |
Entity Name | South Suburban Pathologists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720016801 PECOS PAC ID: 0547254872 Enrollment ID: O20040412000192 |
Entity Name | Ctca Physicians Group Of Georgia, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
Mailing Address | Practice Location Address |
---|---|
Dr Shourong Zhao, MD 11 U Riverdale Rd, Pathology Dept, Riverdale, GA 30274 Ph: (678) 423-1550 | Dr Shourong Zhao, MD 11 Upper Riverdale Rd Sw, Pathology Dept, Riverdale, GA 30274-2615 Ph: (678) 423-1550 |
Dr. Nancy Elizabeth Newton, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8615 Fax: 770-991-8689 | |
Christopher Michael Campo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 813-490-7206 Fax: 813-886-6655 | |
Dr. Zoya Kvitash Arbiser, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: Department Of Pathology/southern Regional Medical Cente, 11 Upper Riverdale Rd, Riverdale, GA 30274 Phone: 770-991-8615 Fax: 770-991-8689 | |
Dr. Harold P Brusman, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Path Dept, Riverdale, GA 30274 Phone: 770-991-8615 | |
Mrs. Laleh Ehsani, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 678-735-0175 | |
Dr. Anthony Simms Ii, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Pathology Dept, Riverdale, GA 30274 Phone: 678-423-1550 |