| Zam Zam Family Clinic Llc | |
|
965 Oakland Road Bldg 3 Ste D & E Lawrenceville GA 30044 | |
| (606) 261-6044 | |
| Not Available |
| Full Name | Zam Zam Family Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 965 Oakland Road, Lawrenceville, Georgia |
| Authorized Official Name and Position | Samina Bhatti (OWNER) |
| Authorized Official Contact | 6062616044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zam Zam Family Clinic Llc 965 Oakland Road Bldg 3 Suite D Lawrenceville GA 30044-3440 Ph: () - | Zam Zam Family Clinic Llc 965 Oakland Road Bldg 3 Ste D & E Lawrenceville GA 30044 Ph: (606) 261-6044 |
| NPI Number | 1598329625 |
|---|---|
| Provider Enumeration Date | 04/24/2019 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 4981930872 |
|---|---|
| Medicare Enrollment ID | O20190730004732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598329625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Waheed A Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043490253 PECOS PAC ID: 4981755501 Enrollment ID: I20150423001313 |
| Provider Name | Samina Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205008935 PECOS PAC ID: 6103979117 Enrollment ID: I20150501001008 |
| Provider Name | Jocelyn Castellano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205288321 PECOS PAC ID: 7911295209 Enrollment ID: I20161209001040 |
| Provider Name | Heather M Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275247405 PECOS PAC ID: 8820463631 Enrollment ID: I20230410001447 |
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