| Diabetes And Endocrinology Associates East | |
|
1501 Milstead Rd Ne Ste 100 Conyers GA 30012-3849 | |
| (770) 388-0118 | |
| (770) 388-9441 |
| Full Name | Diabetes And Endocrinology Associates East |
|---|---|
| Speciality | Internal Medicine |
| Location | 1501 Milstead Rd Ne Ste 100, Conyers, Georgia |
| Authorized Official Name and Position | David H Jacobson (PRESIDENT) |
| Authorized Official Contact | 4042992223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes And Endocrinology Associates East 2665 N Decatur Rd Ste 520 Decatur GA 30033-6146 Ph: (404) 299-2223 | Diabetes And Endocrinology Associates East 1501 Milstead Rd Ne Ste 100 Conyers GA 30012-3849 Ph: (770) 388-0118 |
| NPI Number | 1831758846 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 09/20/2022 |
| Medicare PECOS PAC ID | 7911239298 |
|---|---|
| Medicare Enrollment ID | O20191106001882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831758846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Meghana Bhatta Kumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043639545 PECOS PAC ID: 5193022556 Enrollment ID: I20200320002841 |
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