Dr Takele Teshi Chala, MD | |
2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | |
(770) 732-4022 | |
Not Available |
Full Name | Dr Takele Teshi Chala |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 21 Years |
Location | 2518 Jimmy Lee Smith Pkwy, Hiram, 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 |
---|---|---|---|
1578817383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 073992 (Georgia) | Secondary |
207R00000X | Internal Medicine | 57-022038 (Ohio) | Secondary |
208M00000X | Hospitalist | 073992 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Paulding Hospital | Hiram, GA | Hospital |
Wellstar Cobb Hospital | Austell, 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 Takele Teshi Chala, MD 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 Ph: (770) 732-4022 | Dr Takele Teshi Chala, MD 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 Ph: (770) 732-4022 |
Aidenojie Eromosele Ihenyen, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 770-732-4022 Fax: 770-732-4023 | |
Adanna Ngozi Nwachukwu, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 770-732-4022 Fax: 770-732-4023 | |
Rasik Parmar, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 770-732-4022 | |
Iwayemi Olatunde Olayeye, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 470-644-7000 Fax: 470-644-8027 |