Mrs Madhuri P Basavaraju, MD | |
3650 Steve Reynolds Boulevard, Kaiser Permanente Gwinnett Medical Office, Duluth, GA 30096 | |
(770) 931-6010 | |
Not Available |
Full Name | Mrs Madhuri P Basavaraju |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3650 Steve Reynolds Boulevard, Duluth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497932685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 002102 (Georgia) | Secondary |
208000000X | Pediatrics | 062947 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Mrs Madhuri P Basavaraju, MD 3495 Piedmont Road Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7070 | Mrs Madhuri P Basavaraju, MD 3650 Steve Reynolds Boulevard, Kaiser Permanente Gwinnett Medical Office, Duluth, GA 30096 Ph: (770) 931-6010 |
Linda H Remlinger, CNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Steve Reynolds Blvd, Pediatrics Health Care Team A, Duluth, GA 30096 Phone: 770-931-6012 | |
Dr. Aparna V Peethambaram, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 Satellite Blvd, #501, Duluth, GA 30097 Phone: 678-496-2600 Fax: 888-226-8819 | |
Kimberly N Hodge-spears, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3625 Savannah Pl Ste 101a-b, Duluth, GA 30096 Phone: 770-707-4018 Fax: 770-785-4488 | |
Dr. Yejin Kim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3435 Duluth Park Ln, Suite A, Duluth, GA 30096 Phone: 678-417-0407 Fax: 678-417-2008 | |
Scott G Pugel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3650 Steve Reynolds Blvd, Pediatrics Health Care Team A, Duluth, GA 30096 Phone: 770-931-6012 | |
Dr. Farida Kwaji, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2660 Satellite Blvd, Duluth, GA 30096 Phone: 404-785-8330 | |
Andrew B Adam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Steve Reynolds Blvd, Pediatrics Health Care Team A, Duluth, GA 30096 Phone: 770-931-6010 Fax: 770-931-6005 |