Thakorbhai Patel, MD | |
3950 Austell Rd, Austell, GA 30106 | |
(770) 732-3649 | |
(770) 732-3648 |
Full Name | Thakorbhai Patel |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 3950 Austell Rd, Austell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447213772 | NPI | - | NPPES |
000150026B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 019579 (Georgia) | Primary |
Entity Name | Mak Anesthesia Cobb Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699045070 PECOS PAC ID: 7810154960 Enrollment ID: O20120201000868 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Mailing Address | Practice Location Address |
---|---|
Thakorbhai Patel, MD Po Box 155, Austell, GA 30168-1002 Ph: (770) 732-3649 | Thakorbhai Patel, MD 3950 Austell Rd, Austell, GA 30106 Ph: (770) 732-3649 |
David A Reeder, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Road, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Robert Silverman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3649 Fax: 773-732-3648 | |
David Termotto, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Anne Vidanagama, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Road, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Kamela Coleman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Mr. Ajay Handa, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Road, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 |