| Dr Indra C Shah, | |
|
601 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4311 | |
| (770) 963-2474 | |
| (770) 963-2476 |
| Full Name | Dr Indra C Shah |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 601 Old Norcross Rd Ste A, 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 |
|---|---|---|---|
| 1639202120 | NPI | - | NPPES |
| 23224 | Other | GA | MD LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023224 (Georgia) | Primary |
| Entity Name | Douglas County Family Practice, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083769376 PECOS PAC ID: 3173596400 Enrollment ID: O20040816000834 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Indra C Shah, 601 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4311 Ph: (770) 963-2474 | Dr Indra C Shah, 601 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4311 Ph: (770) 963-2474 |
Dr. Angus C Howard Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046 Phone: 404-645-7150 | |
Gary Mcmorris, MD Internal Medicine 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 Internal Medicine 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. Internal Medicine 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 Internal Medicine Medicare: Medicare Enrolled Practice Location: 721 Wellness Way, Suite 220, Lawrenceville, GA 30046 Phone: 770-709-0900 Fax: 770-709-7444 | |
Praveen Sivakumaran, MD Internal Medicine 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3294 Fax: 678-312-3294 |