Dr Isaac V Joseph, MD | |
6555 Professional Pl, Suite D, Riverdale, GA 30274-4903 | |
(770) 994-7700 | |
(770) 997-8399 |
Full Name | Dr Isaac V Joseph |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 6555 Professional Pl, Riverdale, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053411207 | NPI | - | NPPES |
0498460 | Other | GA | AETNA |
00327192A | Medicaid | GA | |
52278960 | Other | GA | BLUE CROSS B/S OF GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 028285 (Georgia) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 028285 (Georgia) | Primary |
Entity Name | Southern Regional Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831190958 PECOS PAC ID: 7214836436 Enrollment ID: O20040107000563 |
Mailing Address | Practice Location Address |
---|---|
Dr Isaac V Joseph, MD 6555 Professional Pl, Suite D, Riverdale, GA 30274-4903 Ph: (770) 994-7700 | Dr Isaac V Joseph, MD 6555 Professional Pl, Suite D, Riverdale, GA 30274-4903 Ph: (770) 994-7700 |
Dr. Jay R Prakash, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 6555 Professional Pl, Suite C, Riverdale, GA 30274 Phone: 770-996-5959 Fax: 770-991-1596 | |
Dr. Hymavati Mikkilineni, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 483 Upper Riverdale Rd Sw, Suite B, Riverdale, GA 30274 Phone: 770-994-0242 Fax: 770-994-4386 | |
Paul L Harvey, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 483 Upper Riverdale Rd Sw Ste G, Riverdale, GA 30274 Phone: 770-996-9400 Fax: 770-991-2918 | |
Dr. Eloy Edilberto Diaz Sr., M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6572 River Park Dr Ste 102, Riverdale, GA 30274 Phone: 770-629-2296 | |
Rajinikanth Seshan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 253 Upper Riverdale Rd Sw, Suite B, Riverdale, GA 30274 Phone: 216-533-8842 | |
Dr. Victor Ezinna Okeh, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 483 Upper Riverdale Rd Sw Ste F, Riverdale, GA 30274 Phone: 770-742-3883 Fax: 855-597-8504 |