| Dr Gregory L Erdelyan, MD | |
|
1104 Hospital Dr, Stockbridge, GA 30281-6381 | |
| (678) 289-2003 | |
| (678) 289-0191 |
| Full Name | Dr Gregory L Erdelyan |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1104 Hospital Dr, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295786234 | NPI | - | NPPES |
| 000508362F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35864 (Georgia) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35864 (Georgia) | Secondary |
| Entity Name | Georgia Phlebology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598701450 PECOS PAC ID: 4880622349 Enrollment ID: O20050727000502 |
| Entity Name | Usa Vein Clinics Of Decatur Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912301003 PECOS PAC ID: 9931426749 Enrollment ID: O20150316000937 |
| Entity Name | Atlanta Laser Vein Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245638998 PECOS PAC ID: 6800117417 Enrollment ID: O20150608003111 |
| Entity Name | Usa Vascular Center Of Decatur, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487133278 PECOS PAC ID: 1052665957 Enrollment ID: O20181113000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory L Erdelyan, MD 1104 Hospital Dr., Stockbridge, GA 30281-6381 Ph: (678) 289-2003 | Dr Gregory L Erdelyan, MD 1104 Hospital Dr, Stockbridge, GA 30281-6381 Ph: (678) 289-2003 |
Dr. Ahmad Ibn Nuriddin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 Eagles Landing Pkwy, Suite 100, Stockbridge, GA 30281 Phone: 770-474-7287 Fax: 770-389-3713 | |
Jarrod D Day, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Country Club Dr, Suite A, Stockbridge, GA 30281 Phone: 770-692-4000 Fax: 770-692-2400 | |
Karthik Bhat, MD Surgery Medicare: Medicare Enrolled Practice Location: 191 Medical Blvd, Stockbridge, GA 30281 Phone: 678-604-5015 | |
Dr. Brian S Myers, M.D., F.A.C.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 Eagles Landing Pkwy, Suite 100, Stockbridge, GA 30281 Phone: 770-474-7287 Fax: 770-389-3713 | |
Reema Mallick, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 Eagle's Landing Parkway, Suite 100, Stockbridge, GA 30281 Phone: 770-474-7287 Fax: 770-389-3713 | |
Jose L. Fernandez-gerena, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 Eagles Landing Parkway, Suite 100, Stockbridge, GA 30281 Phone: 770-474-7287 Fax: 770-389-3713 |