Mohammad Ali Kukaswadia, MD | |
4904 Timber Ridge Drive, Suite 305, Douglasville, GA 30135 | |
(678) 501-5420 | |
(678) 501-5427 |
Full Name | Mohammad Ali Kukaswadia |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 32 Years |
Location | 4904 Timber Ridge Drive, Douglasville, 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 |
---|---|---|---|
1043394109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | GEORGIA (Georgia) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 043997 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northside Primary Care Professional Services,llc | 9638343924 | 266 |
Entity Name | Northside Primary Care Professional Services,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
Mailing Address | Practice Location Address |
---|---|
Mohammad Ali Kukaswadia, MD 822 Riverton Park Pl Se, Mableton, GA 30126-5685 Ph: (678) 501-5420 | Mohammad Ali Kukaswadia, MD 4904 Timber Ridge Drive, Suite 305, Douglasville, GA 30135 Ph: (678) 501-5420 |
Nabila Zafar Haque, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5905 Stewart Pkwy, Douglasville, GA 30135 Phone: 770-949-8082 Fax: 770-739-8916 | |
Alana Pearson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4685 Dorsett Shoals Rd, Douglasville, GA 30135 Phone: 770-852-6300 |