| Dr Michael Angel Dicristina, MD | |
|
33 Upper Riverdale Rd Sw, Suite 21, Riverdale, GA 30274-2626 | |
| (770) 968-7933 | |
| (770) 968-6521 |
| Full Name | Dr Michael Angel Dicristina |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 33 Upper Riverdale Rd Sw, 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 |
|---|---|---|---|
| 1144226135 | NPI | - | NPPES |
| 000221328E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 022223 (Georgia) | Primary |
| Entity Name | Southern Regional Physicians Management Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043677271 PECOS PAC ID: 9032491956 Enrollment ID: O20170127002483 |
| Entity Name | Alignmed Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180629000260 |
| Entity Name | Medical Director Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20190301002321 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Angel Dicristina, MD 33 Upper Riverdale Rd Sw, Suite #21, Riverdale, GA 30274-2626 Ph: (770) 968-7933 | Dr Michael Angel Dicristina, MD 33 Upper Riverdale Rd Sw, Suite 21, Riverdale, GA 30274-2626 Ph: (770) 968-7933 |
Dr. Jay R Prakash, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6555 Professional Pl, Suite C, Riverdale, GA 30274 Phone: 770-996-5959 Fax: 770-991-1596 | |
Paul L Harvey, MD Internal Medicine 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. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6572 River Park Dr Ste 102, Riverdale, GA 30274 Phone: 770-629-2296 | |
Rajinikanth Seshan, M.D. Internal Medicine 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. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 483 Upper Riverdale Rd Sw Ste F, Riverdale, GA 30274 Phone: 770-742-3883 Fax: 855-597-8504 | |
Sadrudin J Sarangi, M D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Medical Way, Suite B - 1, Riverdale, GA 30274 Phone: 770-991-1600 Fax: 770-991-1616 |