| Dr Cyrus K Irani, MD | |
|
750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | |
| (770) 514-5464 | |
| Not Available |
| Full Name | Dr Cyrus K Irani |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 750 Town Park Lane, Kennesaw, 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 |
|---|---|---|---|
| 1700972155 | NPI | - | NPPES |
| 2586423 | Medicaid | NY | |
| 361858743A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 232545 (New York) | Secondary |
| 207R00000X | Internal Medicine | 059795 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Urgent Care Holding Llc | 4587984695 | 62 |
| Northside Primary Care Professional Services,llc | 9638343924 | 282 |
| Entity Name | Northside Primary Care Professional Services,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
| Entity Name | Northside Urgent Care Holding Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679962237 PECOS PAC ID: 4587984695 Enrollment ID: O20150513000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cyrus K Irani, MD 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7070 | Dr Cyrus K Irani, MD 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 Ph: (770) 514-5464 |
Dr. Ryan Mathew, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4255 Wade Green Rd Nw Ste 925, Kennesaw, GA 30144 Phone: 770-284-3150 | |
Mridula Vinjamuri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 187 Chastain Rd Ne, Suite 250, Kennesaw, GA 30144 Phone: 770-218-6450 | |
Angel M Cobiella, MD MBA Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 750 Townpark Lane, Internal Medicine Health Care Team A, Kennesaw, GA 30144 Phone: 770-514-5403 Fax: 770-514-5493 | |
Kaleigh Herron, NP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 187 Chastain Rd Nw Ste 250, Kennesaw, GA 30144 Phone: 770-218-6450 | |
Dr. Marshall Fleurant, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 Phone: 770-514-5401 Fax: 617-414-1577 | |
Dr. Ndidiamaka O Obadan, M.D.,MS Internal Medicine Medicare: Medicare Enrolled Practice Location: 3105 Creekside Village Dr Nw Ste 801, Kennesaw, GA 30144 Phone: 404-566-4623 | |
Abhiyan Jung Bista, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 Mccook Way Nw, Kennesaw, GA 30144 Phone: 404-405-6426 |