| Conjeevaram R Kesavan, MD | |
|
605 Old Norcross Rd, Lawrenceville, GA 30045 | |
| (770) 962-1231 | |
| (770) 513-2107 |
| Full Name | Conjeevaram R Kesavan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 605 Old Norcross Rd, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912968801 | NPI | - | NPPES |
| 390007158 | Other | GA | RAILROAD MEDICARE |
| 000617735J | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 038529 (Georgia) | Primary |
| Entity Name | Kidney Hypertension Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043327513 PECOS PAC ID: 4082519194 Enrollment ID: O20031203000120 |
| Entity Name | Gwinnett Physician Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Conjeevaram R Kesavan, MD 605 Old Norcross Rd, Lawrenceville, GA 30045 Ph: (770) 962-1231 | Conjeevaram R Kesavan, MD 605 Old Norcross Rd, Lawrenceville, GA 30045 Ph: (770) 962-1231 |
Dr. Angus C Howard Jr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046 Phone: 404-645-7150 | |
Gary Mcmorris, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 950 River Centre Pl, Lawrenceville, GA 30043 Phone: 770-682-1717 Fax: 770-682-1723 | |
Niraj Sharma, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 575 Professional Dr Ste 400, Lawrenceville, GA 30046 Phone: 404-962-6000 Fax: 404-962-6001 | |
Dr. Karuna Kusan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043 Phone: 770-995-0466 Fax: 770-995-0472 | |
Mr. Spencer I Rozin, MD FACP Nephrology Medicare: Accepting Medicare Assignments Practice Location: 721 Wellness Way, Suite 220, Lawrenceville, GA 30046 Phone: 770-709-0900 Fax: 770-709-7444 | |
Praveen Sivakumaran, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Dr Ste 450, Lawrenceville, GA 30046 Phone: 770-963-8030 Fax: 770-339-9577 | |
Dr. Yan Lin, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3294 Fax: 678-312-3294 |