| Atlanta Heart Specialists Llc | |
|
1468 Montreal Rd Tucker GA 30084-6901 | |
| (770) 638-1400 | |
| (770) 638-1411 |
| Full Name | Atlanta Heart Specialists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1468 Montreal Rd, Tucker, Georgia |
| Authorized Official Name and Position | David Song (OWNER) |
| Authorized Official Contact | 7706381400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Heart Specialists Llc 1468 Montreal Rd Tucker GA 30084-6901 Ph: (770) 638-1400 | Atlanta Heart Specialists Llc 1468 Montreal Rd Tucker GA 30084-6901 Ph: (770) 638-1400 |
| NPI Number | 1891881827 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 09/08/2014 |
| Medicare PECOS PAC ID | 9537134341 |
|---|---|
| Medicare Enrollment ID | O20040826000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891881827 | NPI | - | NPPES |
| Provider Name | Anthony C Dorsey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871509422 PECOS PAC ID: 5294710430 Enrollment ID: I20040622000258 |
| Provider Name | Linda Gin Yan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306949854 PECOS PAC ID: 6406821214 Enrollment ID: I20040826000442 |
| Provider Name | Sandeep Chandra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093801029 PECOS PAC ID: 9638132178 Enrollment ID: I20041105000829 |
| Provider Name | David H Song |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174619100 PECOS PAC ID: 8325001696 Enrollment ID: I20041108000678 |
| Provider Name | David D Suh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366436297 PECOS PAC ID: 6709857428 Enrollment ID: I20070122000094 |
| Provider Name | Jose A Torres |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083619282 PECOS PAC ID: 9032295423 Enrollment ID: I20080326000139 |
| Provider Name | Michael T Morris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245409101 PECOS PAC ID: 2567534654 Enrollment ID: I20080707000486 |
| Provider Name | Osman Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427021310 PECOS PAC ID: 3678596707 Enrollment ID: I20100624000559 |
| Provider Name | Binu J Kunjummen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437331196 PECOS PAC ID: 7113106410 Enrollment ID: I20110119000286 |
| Provider Name | Zoubin Alikhani |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1962590893 PECOS PAC ID: 0143387894 Enrollment ID: I20120626000645 |
| Provider Name | Bakhtiar Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396767695 PECOS PAC ID: 5395930705 Enrollment ID: I20130322000166 |
| Provider Name | Jawahar Reddy Gazzala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033373238 PECOS PAC ID: 3173830726 Enrollment ID: I20180912001295 |
| Provider Name | Ghazanfar Husein Qureshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821252081 PECOS PAC ID: 3375609142 Enrollment ID: I20190107003300 |
| Provider Name | Mark J Schneider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902171085 PECOS PAC ID: 9537251848 Enrollment ID: I20200514003193 |
| Provider Name | Mashail Manzur |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689107807 PECOS PAC ID: 8729400536 Enrollment ID: I20200624002814 |
| Provider Name | Tanisha Lichelle Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003372293 PECOS PAC ID: 2769809425 Enrollment ID: I20200827000178 |
| Provider Name | Margaret Bronaugh Sporn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497387633 PECOS PAC ID: 8729406012 Enrollment ID: I20200918000957 |
| Provider Name | Mussie Kassa Gebremedihn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497984660 PECOS PAC ID: 4981990652 Enrollment ID: I20200921000452 |
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