| David W Banks, MD | |
|
1357 Hembree Rd, Suite 250, Roswell, GA 30076-5722 | |
| (770) 475-7550 | |
| (770) 343-9080 |
| Full Name | David W Banks |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1357 Hembree Rd, Roswell, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942305164 | NPI | - | NPPES |
| 000229809B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 021941 (Georgia) | Primary |
| Entity Name | Georgia Urology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
| Entity Name | Urological Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
| Mailing Address | Practice Location Address |
|---|---|
| David W Banks, MD 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4040 | David W Banks, MD 1357 Hembree Rd, Suite 250, Roswell, GA 30076-5722 Ph: (770) 475-7550 |
Kapil Pareek, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd Ste 290, Roswell, GA 30076 Phone: 470-956-4230 | |
Dr. Bryce Thompson Wyatt, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 1357 Hembree Rd Ste 250, Roswell, GA 30076 Phone: 770-475-7550 | |
Dr. Sophia D Goodridge, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd Ste 290, Roswell, GA 30076 Phone: 470-956-4230 | |
Lewis S Kriteman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1357 Hembree Rd, Suite 250, Roswell, GA 30076 Phone: 770-475-7550 Fax: 770-343-9080 | |
Dr. Kushan Radadia, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11660 Alpharetta Hwy Ste 700, Roswell, GA 30076 Phone: 678-839-9973 Fax: 470-427-2013 | |
Daniel Rahe Belew, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1357 Hembree Rd Ste 250, Roswell, GA 30076 Phone: 770-475-7550 | |
Al William Ray Iii, MD Urology Medicare: Medicare Enrolled Practice Location: 2500 Hospital Blvd Ste 290, Roswell, GA 30076 Phone: 470-956-4230 |