| Firoz Patka Md | |
|
809 Peachtree Street Louisville GA 30434-1449 | |
| (478) 625-3743 | |
| (478) 625-8361 |
| Full Name | Firoz Patka Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 809 Peachtree Street, Louisville, Georgia |
| Authorized Official Name and Position | Firoz Patka (PRESIDENT) |
| Authorized Official Contact | 4786257597 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firoz Patka Md 809 Peachtree Street Louisville GA 60434-1449 Ph: (478) 625-7597 | Firoz Patka Md 809 Peachtree Street Louisville GA 30434-1449 Ph: (478) 625-3743 |
| NPI Number | 1962562884 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 11/14/2008 |
| Medicare PECOS PAC ID | 8022914829 |
|---|---|
| Medicare Enrollment ID | O20031211000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962562884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Calin G Badea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346239639 PECOS PAC ID: 9638119746 Enrollment ID: I20050509000538 |
| Provider Name | Praharsha Ravindranatha Menon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265693543 PECOS PAC ID: 7214194141 Enrollment ID: I20120206000232 |
Medical-care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Peachtree St, Louisville, GA 30434 Phone: 478-625-7597 | |
Southcare Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Peachtree St, Louisville, GA 30434 Phone: 478-625-7597 Fax: 478-625-8364 | |
Physicians' Health Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1067 Peachtree St, Louisville, GA 30434 Phone: 478-625-7000 Fax: 478-625-8907 | |
Karen Butler, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Us Highway 1 Byp S, Louisville, GA 30434 Phone: 478-494-8389 | |
Southeastern Spine And Pain Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1067 Peachtree St, Louisville, GA 30434 Phone: 912-542-0444 Fax: 833-639-1102 |