Ravina V Kadam, MD | |
300 Medical Dr Ste 704, Lagrange, GA 30240-4130 | |
(706) 880-7361 | |
Not Available |
Full Name | Ravina V Kadam |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 300 Medical Dr Ste 704, Lagrange, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134183742 | NPI | - | NPPES |
202193 | Other | MO | BLUE SHIELD/BLUE CHOICE |
732685 | Other | MO | HEALTHLINK |
P00310560 | Other | MO | RR MEDICARE |
200455004 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 28388 (Alabama) | Secondary |
207R00000X | Internal Medicine | 2005037959 (Missouri) | Secondary |
207R00000X | Internal Medicine | 62902 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Georgia Home Health | Columbus, GA | Home health agency |
West Georgia Home Care | Lagrange, GA | Home health agency |
Wellstar West Georgia Medical Center | Lagrange, 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 |
---|---|
Ravina V Kadam, MD 303 Medical Drive, Ste 406, Lagrange, GA 30240-4145 Ph: (706) 880-7361 | Ravina V Kadam, MD 300 Medical Dr Ste 704, Lagrange, GA 30240-4130 Ph: (706) 880-7361 |
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 | |
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 | |
Priyesh R Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471 | |
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 |