| Bedside Physicians Llc | |
|
1700 Northside Drive Nw Suite A7 Pmb 1627 Atlanta GA 30318 | |
| (513) 633-0088 | |
| Not Available |
| Full Name | Bedside Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1700 Northside Drive Nw, Atlanta, Georgia |
| Authorized Official Name and Position | Jabulani Sidile (CO-OWNER) |
| Authorized Official Contact | 5136330088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedside Physicians Llc 1700 Northside Drive Nw Suite A7 Pmb 1627 Atlanta GA 30318 Ph: (513) 633-0088 | Bedside Physicians Llc 1700 Northside Drive Nw Suite A7 Pmb 1627 Atlanta GA 30318 Ph: (513) 633-0088 |
| NPI Number | 1891489449 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 9830550581 |
|---|---|
| Medicare Enrollment ID | O20231220000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891489449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
| Provider Name | Gwinyai Chikwava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902283260 PECOS PAC ID: 8527323971 Enrollment ID: I20180829004792 |
| Provider Name | Jabulani Sidile |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164650743 PECOS PAC ID: 9830312842 Enrollment ID: I20220106001158 |
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