Joana Isabel Benayoun, MD | |
808 Commerce Blvd, Suite A, Riverdale, GA 30296-7192 | |
(770) 996-9191 | |
(770) 996-5298 |
Full Name | Joana Isabel Benayoun |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 808 Commerce Blvd, Riverdale, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457647158 | NPI | - | NPPES |
000882076I | Medicaid | GA | |
000882076H | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 68363 (Georgia) | Primary |
Entity Name | Brigham & Womens Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790717650 PECOS PAC ID: 4385554732 Enrollment ID: O20040407000771 |
Mailing Address | Practice Location Address |
---|---|
Joana Isabel Benayoun, MD 808 Commerce Blvd, Suite A, Riverdale, GA 30296-7192 Ph: (770) 996-9191 | Joana Isabel Benayoun, MD 808 Commerce Blvd, Suite A, Riverdale, GA 30296-7192 Ph: (770) 996-9191 |
Dr. Angela Patrice Jackson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296 Phone: 770-996-9191 Fax: 770-996-5298 | |
Moo Hee Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274 Phone: 770-991-2176 Fax: 770-991-2178 | |
Manjit Singh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296 Phone: 770-996-9191 | |
Dr. Amjad Iqbal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 189c Medical Way, Riverdale, GA 30274 Phone: 770-991-8900 Fax: 770-991-8917 | |
Odell Barnwell Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274 Phone: 770-991-2176 Fax: 770-991-2178 | |
Sook Hee Ahn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274 Phone: 770-991-2176 Fax: 770-991-2178 |