Tariq Ismail Salim, MD | |
763 Old Norcross Rd, Lawrenceville, GA 30046-4317 | |
(678) 985-2000 | |
Not Available |
Full Name | Tariq Ismail Salim |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 763 Old Norcross Rd, Lawrenceville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598293326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 96394 (Georgia) | Primary |
Entity Name | Southern Gastroenterology Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205886504 PECOS PAC ID: 8820084064 Enrollment ID: O20040422000946 |
Mailing Address | Practice Location Address |
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Tariq Ismail Salim, MD 763 Old Norcross Rd, Lawrenceville, GA 30046-4317 Ph: (678) 985-2000 | Tariq Ismail Salim, MD 763 Old Norcross Rd, Lawrenceville, GA 30046-4317 Ph: (678) 985-2000 |
Dr. Angus C Howard Jr., M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046 Phone: 404-645-7150 | |
Gary Mcmorris, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 950 River Centre Pl, Lawrenceville, GA 30043 Phone: 770-682-1717 Fax: 770-682-1723 | |
Niraj Sharma, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 575 Professional Dr Ste 400, Lawrenceville, GA 30046 Phone: 404-962-6000 Fax: 404-962-6001 | |
Dr. Karuna Kusan, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043 Phone: 770-995-0466 Fax: 770-995-0472 | |
Mr. Spencer I Rozin, MD FACP Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 721 Wellness Way, Suite 220, Lawrenceville, GA 30046 Phone: 770-709-0900 Fax: 770-709-7444 | |
Praveen Sivakumaran, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Dr Ste 450, Lawrenceville, GA 30046 Phone: 770-963-8030 Fax: 770-339-9577 | |
Dr. Yan Lin, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3294 Fax: 678-312-3294 |