| Dr David Romesh Persaud, MD | |
|
772 Maddox Dr, Ste. 122, East Ellijay, GA 30540-8196 | |
| (706) 635-6898 | |
| (706) 635-6888 |
| Full Name | Dr David Romesh Persaud |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 772 Maddox Dr, East Ellijay, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609087527 | NPI | - | NPPES |
| 003143127A | Medicaid | GA | |
| 202I087630 | Other | GA | MEDICARE PTAN |
| 1035769 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 70703 (Georgia) | Primary |
| Entity Name | Gulfview Medical Institute Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851680789 PECOS PAC ID: 9335327139 Enrollment ID: O20110627000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Romesh Persaud, MD 165 Blue Ridge Overlook, Blue Ridge, GA 30513-4431 Ph: (706) 946-5600 | Dr David Romesh Persaud, MD 772 Maddox Dr, Ste. 122, East Ellijay, GA 30540-8196 Ph: (706) 635-6898 |
Anne Berry Todd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 Highland Pkwy Ste 101, East Ellijay, GA 30540 Phone: 706-698-8400 Fax: 706-698-8401 | |
Dr. Islam G Eltarawy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Hefner St, Suite 202, East Ellijay, GA 30540 Phone: 706-635-1400 Fax: 706-635-1411 | |
Dr. Thomas A Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Hefner St Ste 202, East Ellijay, GA 30540 Phone: 706-635-5177 Fax: 706-635-5171 | |
Dr. Asim Kidwai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Hefner St, Suite 202, East Ellijay, GA 30540 Phone: 706-635-1400 Fax: 706-635-1411 | |
Brittany Martin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 822 Industrial Blvd Ste 100, East Ellijay, GA 30540 Phone: 706-515-7010 |