| Chidambaram Raghavan Md | |
|
5041 Dallas Hwy Bldg 2 Suite E West Cobb Internal Medicine Pc Powder Springs GA 30127 | |
| (770) 218-1880 | |
| (770) 218-1088 |
| Full Name | Chidambaram Raghavan Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 5041 Dallas Hwy, Powder Springs, Georgia |
| Authorized Official Name and Position | Chidambaram Raghavan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7702181880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chidambaram Raghavan Md 5041 Dallas Highway Bldg 2 Suite E West Cobb Internal Medicine Pc Powder Springs GA 30127 Ph: (770) 218-1880 | Chidambaram Raghavan Md 5041 Dallas Hwy Bldg 2 Suite E West Cobb Internal Medicine Pc Powder Springs GA 30127 Ph: (770) 218-1880 |
| NPI Number | 1467524330 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 5193894590 |
|---|---|
| Medicare Enrollment ID | O20080527000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467524330 | NPI | - | NPPES |
| 00626117A | Medicaid | GA | |
| 4562104 | Other | GA | AETNA |
| 0400005 | Other | GA | UNITED HEALTHCARE |
| 617437 | Other | GA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 38709 (Georgia) | Primary |
| Provider Name | Chidambaram Raghavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326237322 PECOS PAC ID: 0648349043 Enrollment ID: I20080527000075 |
| Provider Name | Karan Raghavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518596683 PECOS PAC ID: 6800206251 Enrollment ID: I20240418001343 |
Rediclinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230 Dallas Hwy, Powder Springs, GA 30127 Phone: 713-935-0333 | |
Wellstar Powder Springs Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Brownsville Rd, Powder Springs, GA 30127 Phone: 678-567-8000 Fax: 770-439-3555 | |
Healthwise Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Brownsville Rd Ste 3, Powder Springs, GA 30127 Phone: 770-575-0768 | |
Wellstar Powder Springs Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Brownsville Rd, Powder Springs, GA 30127 Phone: 678-567-8000 Fax: 770-439-3555 | |
Virtuhealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3963 Lagrone St, Powder Springs, GA 30127 Phone: 954-256-6392 | |
Carehalo Alabama Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5200 Dallas Hwy Ste 200-243, Powder Springs, GA 30127 Phone: 770-364-2184 |