| Dr Richita C Surana, MD | |
|
2306 Wisteria Dr Ste 100, Snellville, GA 30078-3561 | |
| (770) 979-8200 | |
| Not Available |
| Full Name | Dr Richita C Surana |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 21 Years |
| Location | 2306 Wisteria Dr Ste 100, Snellville, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619138054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036.120624 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | 63031 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 92 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richita C Surana, MD 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 Ph: (770) 702-1806 | Dr Richita C Surana, MD 2306 Wisteria Dr Ste 100, Snellville, GA 30078-3561 Ph: (770) 979-8200 |
Dr. William Paul Ives, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1976 Main St E, Suite C, Snellville, GA 30078 Phone: 770-982-2099 Fax: 770-982-9045 | |
Dr. Sriharsha S Tanguturi, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 2306 Wisteria Dr Ste 100, Snellville, GA 30078 Phone: 770-979-8200 | |
Wayne Goode Hutchens, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 | |
Cary Bruce Gilman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 | |
Michael A Guerzon, AA Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1700 Medical Way, Attn: Anesthesia Department, Snellville, GA 30078 Phone: 770-979-9996 Fax: 770-979-1202 | |
Alfonso T Dampog, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2131 Fountain Dr, Snellville, GA 30078 Phone: 770-979-8200 | |
Wilfrido Matinezo Magat, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 Fax: 770-979-1202 |