| Epic Kidney Center Pc | |
|
960 Sanders Rd Ste 700 Cumming GA 30041-6058 | |
| (678) 272-3777 | |
| Not Available |
| Full Name | Epic Kidney Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 960 Sanders Rd Ste 700, Cumming, Georgia |
| Authorized Official Name and Position | Vishal Parekh (CEO) |
| Authorized Official Contact | 6463168645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Kidney Center Pc 960 Sanders Rd Ste 700 Cumming GA 30041-6058 Ph: (678) 272-3777 | Epic Kidney Center Pc 960 Sanders Rd Ste 700 Cumming GA 30041-6058 Ph: (678) 272-3777 |
| NPI Number | 1487216958 |
|---|---|
| Provider Enumeration Date | 07/03/2019 |
| Last Update Date | 11/20/2019 |
| Medicare PECOS PAC ID | 1355671967 |
|---|---|
| Medicare Enrollment ID | O20190925000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487216958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Vishal B Parekh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689872475 PECOS PAC ID: 8123115300 Enrollment ID: I20071105000370 |
| Provider Name | Ebie Varghese |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376690792 PECOS PAC ID: 5597650010 Enrollment ID: I20190926000445 |
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