| Naveed S Ummed., M.d. Inc. | |
|
5805 State Bridge Rd G150 Johns Creek GA 30097-8220 | |
| (602) 738-8903 | |
| Not Available |
| Full Name | Naveed S Ummed., M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5805 State Bridge Rd, Johns Creek, Georgia |
| Authorized Official Name and Position | Naveed Shaz Ummed (PRESIDENT) |
| Authorized Official Contact | 6027388903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Naveed S Ummed., M.d. Inc. 5805 State Bridge Rd G150 Duluth GA 30097-8220 Ph: (602) 738-8903 | Naveed S Ummed., M.d. Inc. 5805 State Bridge Rd G150 Johns Creek GA 30097-8220 Ph: (602) 738-8903 |
| NPI Number | 1154604874 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 09/20/2011 |
| Medicare PECOS PAC ID | 6608048475 |
|---|---|
| Medicare Enrollment ID | O20111021000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154604874 | NPI | - | NPPES |
| 24080 | Other | MEDICARE - PTAN | |
| 8586A | Other | WY | WYOMING MEDICAL BOARD |
| 1841597770 | Other | NPI | |
| 222NSU11 | Other | WY | WYOMING BOARD OF PHARMACY |
| 66835 | Other | GA | GEORGIA COMPOSITE BOARD OF MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 66835 (Georgia) | Primary |
| Provider Name | Naveed Ummed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841597770 PECOS PAC ID: 2567640519 Enrollment ID: I20110916000217 |
| Provider Name | Brittany Clarke Toliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235694696 PECOS PAC ID: 4082048921 Enrollment ID: I20191230002286 |
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