Shivan H Amin, MD | |
1120 Curran St Nw Ste 101, Atlanta, GA 30318-5430 | |
(404) 228-9961 | |
(404) 973-2901 |
Full Name | Shivan H Amin |
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Gender | Male |
Speciality | Otolaryngology - Otolaryngology/facial Plastic Surgery |
Location | 1120 Curran St Nw Ste 101, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275857542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | A108630 (California) | Secondary |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 67525 (Georgia) | Primary |
Entity Name | Gwinnett Physician Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
Entity Name | Northside Primary Care Professional Services,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
Entity Name | Origin Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689266314 PECOS PAC ID: 8527477249 Enrollment ID: O20210511000590 |
Mailing Address | Practice Location Address |
---|---|
Shivan H Amin, MD 1120 Curran St Nw Ste 101, Atlanta, GA 30318-5430 Ph: (267) 456-4313 | Shivan H Amin, MD 1120 Curran St Nw Ste 101, Atlanta, GA 30318-5430 Ph: (404) 228-9961 |
David Wei-hau Chou, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3200 Downwood Cir Nw Ste 640, Atlanta, GA 30327 Phone: 404-778-6880 | |
Dr. Peter Jay Abramson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5673 Peachtree Dunwoody Rd, Ste 150, Atlanta, GA 30342 Phone: 404-297-1780 Fax: 404-252-7255 | |
Dr. Michael Douglas Hellstrom, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 20 Glenlake Pkwy, Kaiser Permanente Medical Group Glenlake, Atlanta, GA 30328 Phone: 404-365-0966 Fax: 864-716-7738 | |
Donald Patrick Dennis, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 3193 Howell Mill Rd, #215, Atlanta, GA 30327 Phone: 404-355-1312 Fax: 404-352-2798 | |
Dr. Clementino Arturo Solares, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1135, Atlanta, GA 30308 Phone: 404-778-3381 Fax: 216-445-9409 | |
Wiley A Parker, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 5669 Peachtree Dunwoody Rd N, Ste 295, Atlanta, GA 30342 Phone: 404-256-9822 Fax: 404-256-0250 | |
Sarah K Wise, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Emory Department Of Otolaryngology, 1365a Clifton Road Ne, Suite A2300, Atlanta, GA 30322 Phone: 404-778-3381 |