Thaivi Tonnu, MD | |
2701 North Decatur Road, Decatur, GA 30033 | |
(404) 501-1849 | |
Not Available |
Full Name | Thaivi Tonnu |
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Gender | Female |
Speciality | Internal Medicine |
Location | 2701 North Decatur Road, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851335897 | NPI | - | NPPES |
000471061F | Medicaid | GA | |
000471061D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 032068 (Georgia) | Primary |
207P00000X | Emergency Medicine | 032068 (Georgia) | Secondary |
Entity Name | Phoebe Worth Medical Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760460448 PECOS PAC ID: 0840104527 Enrollment ID: O20040205000529 |
Entity Name | Ben Hill Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043328156 PECOS PAC ID: 3274530837 Enrollment ID: O20061025000232 |
Entity Name | Hartwell Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962540849 PECOS PAC ID: 6709980022 Enrollment ID: O20070327000195 |
Mailing Address | Practice Location Address |
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Thaivi Tonnu, MD 2100 Powell Street, Ste 920, Emeryville, CA 94608-1803 Ph: (510) 350-2600 | Thaivi Tonnu, MD 2701 North Decatur Road, Decatur, GA 30033 Ph: (404) 501-1849 |
Dr. Ned Wilson Holland, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Vamc - 11b, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-728-4703 | |
Cedrella Carol Jones-taylor, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Primary Care, Decatur, GA 30033 Phone: 404-321-6111 | |
Dr. Gary Robert Botstein, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2712 N Decatur Rd, Decatur, GA 30033 Phone: 404-299-0187 Fax: 404-292-2766 | |
Priti Rajnikant Patel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Road, Primary Care, Decatur, GA 30033 Phone: 404-321-6111 | |
John Oliga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4153b Flat Shoals Pkwy, Ste 200, Decatur, GA 30034 Phone: 404-585-5049 Fax: 404-591-0292 | |
Dr. Pojnicha Mekaroonkamol, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2124 Candler Road, Jencare Neighborhood Medical Center South Dekalb, Llc, Decatur, GA 30032 Phone: 404-836-0272 Fax: 404-836-0289 | |
Dr. Charles Michael Hart, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, 151-p, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-728-7750 |