| Juno Medical Practice | |
|
777 Memorial Dr Se Unit A200 Atlanta GA 30316-1582 | |
| (212) 300-2836 | |
| Not Available |
| Full Name | Juno Medical Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 777 Memorial Dr Se Unit A200, Atlanta, Georgia |
| Authorized Official Name and Position | Aarti Agarwal (OWNER) |
| Authorized Official Contact | 6173046260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juno Medical Practice 228 Park Ave S # 34199 New York NY 10003-1502 Ph: () - | Juno Medical Practice 777 Memorial Dr Se Unit A200 Atlanta GA 30316-1582 Ph: (212) 300-2836 |
| NPI Number | 1831809854 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 11/30/2022 |
| Medicare PECOS PAC ID | 9436515160 |
|---|---|
| Medicare Enrollment ID | O20230522002645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831809854 | NPI | - | NPPES |
| Provider Name | Pelumi Adedayo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881004497 PECOS PAC ID: 7911207618 Enrollment ID: I20191106002834 |
| Provider Name | Radhika Do Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215436845 PECOS PAC ID: 0042601544 Enrollment ID: I20211216001836 |
| Provider Name | Kevin Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770977662 PECOS PAC ID: 0840504296 Enrollment ID: I20230523003000 |
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