Spandana Thenkabail, MD | |
200 Crescent Center Pkwy, Tucker, GA 30084-7047 | |
(404) 365-0966 | |
Not Available |
Full Name | Spandana Thenkabail |
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Gender | Female |
Speciality | Internal Medicine |
Location | 200 Crescent Center Pkwy, Tucker, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093274888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 93145 (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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Spandana Thenkabail, MD 3163 Rutter Dr, Atlanta, GA 30345-3022 Ph: (928) 380-9966 | Spandana Thenkabail, MD 200 Crescent Center Pkwy, Tucker, GA 30084-7047 Ph: (404) 365-0966 |
Jawahar Reddy Gazzala, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 470-273-6263 Fax: 678-916-4957 | |
Nathan Lee Potter, PA Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4017 Northlake Creek Dr, Tucker, GA 30084 Phone: 317-501-9558 | |
Sandeep Chandra, MD FACC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1468 Montreal Road, Tucker, GA 30084 Phone: 770-638-1400 Fax: 770-638-1411 | |
John Magruder Read Iii, M. D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2362 Main St, Tucker, GA 30084 Phone: 770-938-1266 Fax: 770-939-4093 | |
Dr. Ali M Mohamed, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1459 Montreal Rd, Ste 312, Tucker, GA 30084 Phone: 770-270-4060 Fax: 770-270-4061 | |
Sorabh Kothari, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 770-638-1400 |