Dr Soumya Shivashankar, MD | |
1350 Walton Way, Augusta, GA 30901-2612 | |
(706) 774-5795 | |
Not Available |
Full Name | Dr Soumya Shivashankar |
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Gender | Female |
Speciality | Internal Medicine |
Location | 1350 Walton Way, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881155588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301508296 (Michigan) | Secondary |
208M00000X | Hospitalist | 97356 (Georgia) | Secondary |
207R00000X | Internal Medicine | 97356 (Georgia) | Primary |
Entity Name | Vituity - Michigan Hospitalists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487278156 PECOS PAC ID: 2365860996 Enrollment ID: O20200915000938 |
Mailing Address | Practice Location Address |
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Dr Soumya Shivashankar, MD 1350 Walton Way, Augusta, GA 30901-2612 Ph: () - | Dr Soumya Shivashankar, MD 1350 Walton Way, Augusta, GA 30901-2612 Ph: (706) 774-5795 |
Dr. Bryan Richard Broach, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Dr. Kayla Ashley Shahbazian, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Dr. Harvey Schwartz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Dr. Anam Asif Herekar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2423 | |
Haley Sorensen, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3186 | |
Dr. Robert Allen Price, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239 | |
Matthew Kevin Howard, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901 Phone: 706-724-3473 |