Sasikala Ponnambalam, MD | |
1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | |
(770) 844-3200 | |
(404) 851-6325 |
Full Name | Sasikala Ponnambalam |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 1200 Northside Forsyth Dr, Cumming, 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 |
---|---|---|---|
1578508776 | NPI | - | NPPES |
792849646I | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 056870 (Georgia) | Secondary |
208M00000X | Hospitalist | 056870 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Forsyth | Cumming, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Atlanta Professional Services Llc | 0840291944 | 290 |
Entity Name | The Emory Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | North Atlanta Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
Mailing Address | Practice Location Address |
---|---|
Sasikala Ponnambalam, MD 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 Ph: (770) 844-3200 | Sasikala Ponnambalam, MD 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 Ph: (770) 844-3200 |
Ketan M. Patel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325 | |
Dr. Michael C. Sergeant, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325 | |
Dr. Thomas Joseph Carollo Jr., M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325 | |
Dr. Usha Bangalore Krishnappa, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 404-844-3200 Fax: 404-851-6325 | |
Dr. Thanh Nguyen, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 770-844-3227 |