| Dr Dinesh Venkoba Raju, MD, PHD | |
|
475 Philip Blvd Ste 200, Lawrenceville, GA 30046-8737 | |
| (678) 226-6201 | |
| (678) 225-4037 |
| Full Name | Dr Dinesh Venkoba Raju |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 18 Years |
| Location | 475 Philip Blvd Ste 200, Lawrenceville, 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 |
|---|---|---|---|
| 1548465198 | NPI | - | NPPES |
| 003119067 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 065880 (Georgia) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 065880 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Eastside Medical Center | Snellville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gwinnett Clinic, Ltd | 9436061801 | 34 |
| Esop Rehabilitation Llc | 9739305749 | 181 |
| Entity Name | Gwinnett Clinic, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629117650 PECOS PAC ID: 9436061801 Enrollment ID: O20031104000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dinesh Venkoba Raju, MD, PHD 10600 Medlock Bridge Rd, Duluth, GA 30097-8404 Ph: () - | Dr Dinesh Venkoba Raju, MD, PHD 475 Philip Blvd Ste 200, Lawrenceville, GA 30046-8737 Ph: (678) 226-6201 |
Dr. Yazan Houssami, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 600 Professional Dr, Ste 110, Lawrenceville, GA 30046 Phone: 770-995-0555 Fax: 770-995-0682 | |
Dr. Aijaz A Khalid, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 170 Camden Hill Rd Ste A, Lawrenceville, GA 30045 Phone: 678-990-8015 Fax: 678-990-8019 | |
Shripal Kunjbhari Makim, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 227 Scenic Hwy, Suite A, Lawrenceville, GA 30045 Phone: 770-513-7666 Fax: 770-513-1093 | |
Dr. Lauren Nicole Chatham, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3294 Fax: 678-312-3282 | |
Scott Hubert Chandler, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1564 Stepstone Way, Lawrenceville, GA 30043 Phone: 678-641-4448 | |
Leigh Anne Claire Harvey, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30045 Phone: 770-339-5000 | |
Dr. James Edmonds Mcdaniel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 601 Professional Dr, Suite 160, Lawrenceville, GA 30045 Phone: 678-376-4242 Fax: 678-376-4245 |