Fauzia Rafat Shah, MD | |
1000 Johnson Ferry Rd, Northside Hospital, Atlanta, GA 30342-1606 | |
(404) 365-0966 | |
(920) 797-3753 |
Full Name | Fauzia Rafat Shah |
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Gender | Female |
Speciality | Hospitalist |
Location | 1000 Johnson Ferry Rd, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730113945 | NPI | - | NPPES |
34474900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 46476 (Wisconsin) | Secondary |
208M00000X | Hospitalist | 061518 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Fauzia Rafat Shah, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7070 | Fauzia Rafat Shah, MD 1000 Johnson Ferry Rd, Northside Hospital, Atlanta, GA 30342-1606 Ph: (404) 365-0966 |
Dr. Tianna E. Johnson, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 35 Collier Rd Nw, Suite 635, Atlanta, GA 30309 Phone: 404-367-3014 Fax: 404-367-3558 | |
Dr. Maha Osman Sulieman, MBBS Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1364 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-712-2000 | |
Sarah Latif, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 35 Collier Rd Nw Ste 635, Atlanta, GA 30309 Phone: 404-367-3014 | |
Dr. Tait Thomas Jones, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1362 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-727-5658 | |
Candice Marie Delk, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 35 Collier Rd Nw, Suite 635, Atlanta, GA 30309 Phone: 404-367-3014 Fax: 404-367-3558 | |
Thara Mrithula Vidyasagaran, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1364 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-712-7100 | |
Matthew Jason Brown, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-778-7777 |