| Balu S Mani, MD | |
|
119 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 | |
| (770) 991-1010 | |
| Not Available |
| Full Name | Balu S Mani |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 44 Years |
| Location | 119 Upper Riverdale Rd Sw, Riverdale, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467439612 | NPI | - | NPPES |
| 000544893 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036920 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Atlanta Radiology Associates, P.c. | 0749274272 | 2 |
| Entity Name | South Atlanta Radiology Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811949720 PECOS PAC ID: 0749274272 Enrollment ID: O20040408001083 |
| Entity Name | Henry County Radiology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265484182 PECOS PAC ID: 6305830514 Enrollment ID: O20040412000721 |
| Mailing Address | Practice Location Address |
|---|---|
| Balu S Mani, MD Po Box 100032, Kennesaw, GA 30156-9232 Ph: (770) 312-5536 | Balu S Mani, MD 119 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 Ph: (770) 991-1010 |
Christopher I Lacy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8000 | |
J. Warner Ray, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 255 Professional Ct, Riverdale, GA 30274 Phone: 770-997-8424 | |
Elizabeth L Hadley, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8000 | |
John B Black, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8000 | |
Neal Simmons, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8000 | |
John Harold Giesler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 255 Professional Ct, Riverdale, GA 30274 Phone: 770-997-8424 |