| Pandya Medical Center, Inc | |
|
11315 Johns Creek Pkwy Johns Creek GA 30097-2645 | |
| (770) 709-6922 | |
| (770) 709-6910 |
| Full Name | Pandya Medical Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 11315 Johns Creek Pkwy, Johns Creek, Georgia |
| Authorized Official Name and Position | Tanya O. Pandya (PRESIDENT) |
| Authorized Official Contact | 6789843151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pandya Medical Center, Inc 11555 Medlock Bridge Rd Ste 190 Johns Creek GA 30097-1541 Ph: (678) 984-3151 | Pandya Medical Center, Inc 11315 Johns Creek Pkwy Johns Creek GA 30097-2645 Ph: (770) 709-6922 |
| NPI Number | 1730501586 |
|---|---|
| Provider Enumeration Date | 01/14/2014 |
| Last Update Date | 09/12/2024 |
| Medicare PECOS PAC ID | 8022249028 |
|---|---|
| Medicare Enrollment ID | O20140314000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730501586 | NPI | - | NPPES |
| 60956 | Other | GA | GA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 60956 (Georgia) | Primary |
| Provider Name | Tanya O Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639354434 PECOS PAC ID: 5698821452 Enrollment ID: I20090918000447 |
| Provider Name | Elizabeth Eun Hae Rice De |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194935023 PECOS PAC ID: 3072659929 Enrollment ID: I20120730000615 |
| Provider Name | Parul Shah |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427300375 PECOS PAC ID: 6507001393 Enrollment ID: I20130327000356 |
| Provider Name | Elizabeth M Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336105188 PECOS PAC ID: 8921021528 Enrollment ID: I20140630000443 |
| Provider Name | Nancy Leigh Mcintyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952628182 PECOS PAC ID: 3577889716 Enrollment ID: I20150305000368 |
| Provider Name | Abiramasundari Senthivel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538436928 PECOS PAC ID: 5698093342 Enrollment ID: I20150409001793 |
| Provider Name | Joy Ishii Zarandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497193254 PECOS PAC ID: 0446579353 Enrollment ID: I20160711001458 |
| Provider Name | Katharine Jane Murphree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952797730 PECOS PAC ID: 6103132048 Enrollment ID: I20181025002136 |
| Provider Name | Benjamin Aaron Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073977781 PECOS PAC ID: 7012206162 Enrollment ID: I20200217004363 |
| Provider Name | Alexis N Catlett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477932754 PECOS PAC ID: 8224330485 Enrollment ID: I20200226000804 |
| Provider Name | Houa Lee Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790224160 PECOS PAC ID: 4981002540 Enrollment ID: I20211012001902 |
| Provider Name | Juilett Kostanjevec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356846851 PECOS PAC ID: 0143574319 Enrollment ID: I20211029001473 |
| Provider Name | Chelsea Nicolle Lineberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467113696 PECOS PAC ID: 0840682779 Enrollment ID: I20220126001359 |
| Provider Name | Albin Oh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316478332 PECOS PAC ID: 0749551984 Enrollment ID: I20220524002086 |
| Provider Name | Nida Jiwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013479047 PECOS PAC ID: 5799010534 Enrollment ID: I20220926001135 |
| Provider Name | Anant J Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144781980 PECOS PAC ID: 6305173592 Enrollment ID: I20221019000092 |
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