Bow Peak Inpatient Services Llc | |
1700 Medical Way Snellville GA 30078-2195 | |
(973) 251-1132 | |
Not Available |
Full Name | Bow Peak Inpatient Services Llc |
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Speciality | Internal Medicine |
Location | 1700 Medical Way, Snellville, Georgia |
Authorized Official Name and Position | Gregory Byrne (PRESIDENT) |
Authorized Official Contact | 9732511132 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bow Peak Inpatient Services Llc 13737 Noel Rd Ste 1600 Dallas TX 75240-1331 Ph: (973) 251-1132 | Bow Peak Inpatient Services Llc 1700 Medical Way Snellville GA 30078-2195 Ph: (973) 251-1132 |
NPI Number | 1851700629 |
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Provider Enumeration Date | 08/06/2014 |
Last Update Date | 12/09/2019 |
Medicare PECOS PAC ID | 8628394186 |
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Medicare Enrollment ID | O20150302000323 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851700629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Adeel Rahman |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1225052442 PECOS PAC ID: 1052336187 Enrollment ID: I20051019000109 |
Provider Name | Harsh Singh |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1801888433 PECOS PAC ID: 3971582149 Enrollment ID: I20060629000271 |
Provider Name | Latai Ebrette Grant Brown |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1679519573 PECOS PAC ID: 9032128657 Enrollment ID: I20100824000085 |
Provider Name | Salah Uddin |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1346332004 PECOS PAC ID: 5799755401 Enrollment ID: I20170711002984 |
Provider Name | Matthew Groce Marshall |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1124462403 PECOS PAC ID: 5294049664 Enrollment ID: I20181220001848 |
Provider Name | Stuart Alan Stein |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1093797037 PECOS PAC ID: 0749179406 Enrollment ID: I20200214001058 |
Provider Name | Ayman Ibrahim Omar |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1285894501 PECOS PAC ID: 3476629890 Enrollment ID: I20200316000487 |
Provider Name | Mushtaq Qureshi |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1811352396 PECOS PAC ID: 2365871910 Enrollment ID: I20201030000185 |
Provider Name | Mohamed Ali-eltom |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1710146709 PECOS PAC ID: 7113324567 Enrollment ID: I20210928000604 |
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