Priyesh R Patel, MD | |
1514 Vernon Rd, Lagrange, GA 30240-4131 | |
(706) 882-1411 | |
(706) 812-2471 |
Full Name | Priyesh R Patel |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1514 Vernon Rd, Lagrange, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184941254 | NPI | - | NPPES |
003153029A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 72765 (Georgia) | Primary |
Entity Name | Athens Regional Specialty Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083939136 PECOS PAC ID: 8325162340 Enrollment ID: O20100827000645 |
Entity Name | Evirtualcare, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073050647 PECOS PAC ID: 3375827579 Enrollment ID: O20170308000573 |
Mailing Address | Practice Location Address |
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Priyesh R Patel, MD Po Box 1483, Columbus, GA 31902-1483 Ph: (706) 882-1411 | Priyesh R Patel, MD 1514 Vernon Rd, Lagrange, GA 30240-4131 Ph: (706) 882-1411 |
Kenneth T Horlander, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091 | |
Ravina V Kadam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Dr Ste 704, Lagrange, GA 30240 Phone: 706-880-7361 | |
Syed Abuzar Waseem Ahmed, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1602 Vernon Rd Ste 400, Lagrange, GA 30240 Phone: 706-882-9341 Fax: 706-884-0131 | |
Mr. Melhim Bou Alwan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471 | |
Dr. Ariyo Oluwole Olobatoke, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7222 Fax: 706-880-7223 | |
Dr. Brad Alan Bowyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7311 Fax: 706-880-7360 |