| Georgia Cardiovascular And Primary Care | |
|
11680 Great Oaks Way Ste 170 Alpharetta GA 30022-2483 | |
| (404) 296-1130 | |
| Not Available |
| Full Name | Georgia Cardiovascular And Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 11680 Great Oaks Way Ste 170, Alpharetta, Georgia |
| Authorized Official Name and Position | Bobby V Khan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4046004343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Cardiovascular And Primary Care 5671 Peachtree Dunwoody Rd Ste 550 Atlanta GA 30342-5013 Ph: (404) 296-1130 | Georgia Cardiovascular And Primary Care 11680 Great Oaks Way Ste 170 Alpharetta GA 30022-2483 Ph: (404) 296-1130 |
| NPI Number | 1114377025 |
|---|---|
| Provider Enumeration Date | 06/21/2016 |
| Last Update Date | 06/06/2022 |
| Medicare PECOS PAC ID | 0244523074 |
|---|---|
| Medicare Enrollment ID | O20160801001257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114377025 | NPI | - | NPPES |
| 00612554C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Syed Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568420081 PECOS PAC ID: 1951320803 Enrollment ID: I20051121000555 |
| Provider Name | Bobby V Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306935283 PECOS PAC ID: 4385535640 Enrollment ID: I20051122000032 |
| Provider Name | Saravanan Kuppuswamy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093770844 PECOS PAC ID: 6709985864 Enrollment ID: I20100309000082 |
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