| |
5871 Glenridge Dr Ste 115 Atlanta GA 30328-5304 | |
(404) 480-4486 | |
(404) 446-9342 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 5871 Glenridge Dr Ste 115, Atlanta, Georgia |
Authorized Official Name and Position | Arjun Haridas (MD) |
Authorized Official Contact | 2154608574 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
5871 Glenridge Dr Ste 115 Atlanta GA 30328-5304 Ph: (404) 480-4486 | 5871 Glenridge Dr Ste 115 Atlanta GA 30328-5304 Ph: (404) 480-4486 |
NPI Number | 1346018991 |
---|---|
Provider Enumeration Date | 12/13/2023 |
Last Update Date | 03/07/2024 |
Medicare PECOS PAC ID | 6709239122 |
---|---|
Medicare Enrollment ID | O20240201000409 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346018991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Donni L Jester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447231907 PECOS PAC ID: 8123059185 Enrollment ID: I20050830000130 |
Provider Name | Arjun Haridas |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1497146062 PECOS PAC ID: 8921371808 Enrollment ID: I20210204001367 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |