| Infectious Disease Services Of Georgia Pc | |
|
11660 Alpharetta Hwy Suite 430 Roswell GA 30076-4943 | |
| (770) 255-1069 | |
| (770) 255-1075 |
| Full Name | Infectious Disease Services Of Georgia Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11660 Alpharetta Hwy, Roswell, Georgia |
| Authorized Official Name and Position | Emily Chism (BILLING DEPARTMENT) |
| Authorized Official Contact | 7702551069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Services Of Georgia Pc 11660 Alpharetta Hwy Suite 430 Roswell GA 30076-4943 Ph: (770) 255-1069 | Infectious Disease Services Of Georgia Pc 11660 Alpharetta Hwy Suite 430 Roswell GA 30076-4943 Ph: (770) 255-1069 |
| NPI Number | 1831236728 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 06/09/2024 |
| Medicare PECOS PAC ID | 3072564954 |
|---|---|
| Medicare Enrollment ID | O20050208000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831236728 | NPI | - | NPPES |
| 003233274A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Barbara L Norvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023028842 PECOS PAC ID: 2860478773 Enrollment ID: I20040629001245 |
| Provider Name | Michael P Dailey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568478162 PECOS PAC ID: 9234114414 Enrollment ID: I20050209000331 |
| Provider Name | David L Dickensheets |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578572061 PECOS PAC ID: 6800871088 Enrollment ID: I20050210000205 |
| Provider Name | Rabiul Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841266996 PECOS PAC ID: 5698834752 Enrollment ID: I20081104000243 |
| Provider Name | Titu Dilip Das |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831188085 PECOS PAC ID: 7012989742 Enrollment ID: I20090106000442 |
| Provider Name | Breanna L Sorace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871844431 PECOS PAC ID: 3678724267 Enrollment ID: I20121107000522 |
| Provider Name | Manuel Damian Rodriguez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376730408 PECOS PAC ID: 8921290107 Enrollment ID: I20130716000310 |
| Provider Name | Ayesha A Faruqi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093046617 PECOS PAC ID: 4587888441 Enrollment ID: I20140616000810 |
| Provider Name | Manuel Castro-borobio |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164788022 PECOS PAC ID: 9133498728 Enrollment ID: I20170713002239 |
| Provider Name | Adam Joseph Pettigrew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902148539 PECOS PAC ID: 2466700679 Enrollment ID: I20180803002571 |
| Provider Name | Vidhya Sabapathy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588058879 PECOS PAC ID: 0547579708 Enrollment ID: I20200603000768 |
| Provider Name | Naseen Saadia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346512464 PECOS PAC ID: 5799931002 Enrollment ID: I20200627000027 |
| Provider Name | Rana M Adeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528435724 PECOS PAC ID: 7214227479 Enrollment ID: I20201130003113 |
| Provider Name | Ismail Opeyemi Jimada |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164848602 PECOS PAC ID: 9931464088 Enrollment ID: I20231213001366 |
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