| S Rao Cheti Pc | |
|
4778 N Henry Blvd Ste 202 Stockbridge GA 30281-3566 | |
| (404) 474-8781 | |
| (404) 474-8670 |
| Full Name | S Rao Cheti Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4778 N Henry Blvd Ste 202, Stockbridge, Georgia |
| Authorized Official Name and Position | Satyanarayana Rao Cheti (OWNER) |
| Authorized Official Contact | 4044748781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S Rao Cheti Pc 4778 N Henry Blvd Ste 202 Stockbridge GA 30281-3566 Ph: (404) 474-8781 | S Rao Cheti Pc 4778 N Henry Blvd Ste 202 Stockbridge GA 30281-3566 Ph: (404) 474-8781 |
| NPI Number | 1669498192 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6103861067 |
|---|---|
| Medicare Enrollment ID | O20050622000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669498192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042211 (Georgia) | Primary |
| Provider Name | Satyanarayana Cheti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083644249 PECOS PAC ID: 4385530948 Enrollment ID: I20040223000523 |
| Provider Name | Talitha Brooks-andino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689048290 PECOS PAC ID: 9335440213 Enrollment ID: I20151217002696 |
| Provider Name | Nisha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568984839 PECOS PAC ID: 2567713399 Enrollment ID: I20180918002781 |
| Provider Name | Nadine Opong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871258251 PECOS PAC ID: 2163813692 Enrollment ID: I20211217000007 |
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