| Paul Internal Medicine | |
|
4355 Johns Creek Pkwy Suite 500 Suwanee GA 30024-6085 | |
| (770) 623-0008 | |
| (770) 623-0009 |
| Full Name | Paul Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 4355 Johns Creek Pkwy, Suwanee, Georgia |
| Authorized Official Name and Position | Ranjan Paul (PHYSICIAN) |
| Authorized Official Contact | 7706230008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Internal Medicine 3245 Peachtree Parkway Suite D-170 Suwanee GA 30024-6008 Ph: (770) 623-0008 | Paul Internal Medicine 4355 Johns Creek Pkwy Suite 500 Suwanee GA 30024-6085 Ph: (770) 623-0008 |
| NPI Number | 1073603353 |
|---|---|
| Provider Enumeration Date | 10/15/2006 |
| Last Update Date | 12/12/2013 |
| Medicare PECOS PAC ID | 8921059825 |
|---|---|
| Medicare Enrollment ID | O20050208001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073603353 | NPI | - | NPPES |
| 801250932A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 054087 (Georgia) | Primary |
| Provider Name | Ranjan Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447284138 PECOS PAC ID: 6002867900 Enrollment ID: I20050209000253 |
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