Shree Patel I, DO | |
1862 Auburn Rd Ste 107, Dacula, GA 30019-1677 | |
(678) 288-4142 | |
Not Available |
Full Name | Shree Patel I |
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Gender | Female |
Speciality | Pediatrics |
Location | 1862 Auburn Rd Ste 107, Dacula, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285040238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0102206068 (Virginia) | Secondary |
208000000X | Pediatrics | 91014 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Shree Patel I, DO 1862 Auburn Rd Ste 107, Dacula, GA 30019-1677 Ph: (678) 288-4142 | Shree Patel I, DO 1862 Auburn Rd Ste 107, Dacula, GA 30019-1677 Ph: (678) 288-4142 |
Laetitia Badio, Pediatrics Medicare: Medicare Enrolled Practice Location: 4285 Jim Moore Rd Ste 200, Dacula, GA 30019 Phone: 707-442-1911 | |
Leah Scheier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3619 Braselton Hwy, Suite 103, Dacula, GA 30019 Phone: 770-513-8882 Fax: 770-513-3545 | |
Audrey Jara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2240 Hamilton Creek Pkwy, Suite 600, Dacula, GA 30019 Phone: 404-785-5437 Fax: 404-785-8365 | |
Kiran Singh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3619 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 770-513-8882 | |
Casey Sommerfeld, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2240 Hamilton Creek Pkwy, Suite 600, Dacula, GA 30019 Phone: 404-785-5437 Fax: 404-785-8365 | |
Samantha Ball, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3619 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 770-513-8882 Fax: 770-513-3545 |