| Dr Senthil Surya Balasubramanian, MD | |
| 
					1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110  | |
| (770) 716-0051 | |
| Not Available | 
| Full Name | Dr Senthil Surya Balasubramanian | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Cardiovascular Disease | 
| Location | 1267 Highway 54 W Ste 2200, Fayetteville, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194108217 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 98427 (Georgia) | Primary | 
| Entity Name | Northwestern Medical Faculty Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Senthil Surya Balasubramanian, MD 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 Ph: (770) 716-0051  | Dr Senthil Surya Balasubramanian, MD 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214-2110 Ph: (770) 716-0051  | 
Carzadean Bernadette Hall, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 185 Franklin Farms Cir, Fayetteville, GA 30214 Phone: 404-216-0132  | |
Vipin Ramprasad Lohiya, M.D. Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214 Phone: 678-829-1060 Fax: 678-829-1099  | |
Pooja Maknoor,  Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1275 Highway 54 W Ste 100, Fayetteville, GA 30214 Phone: 678-817-5542  | |
Connie Dupre, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W, Suite 5200, Fayetteville, GA 30214 Phone: 770-719-5601  | |
Poonam Ramani, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 105 Carnegie Pl Ste 103, Fayetteville, GA 30214 Phone: 770-716-7999 Fax: 770-716-8444  | |
Sushee C Gadde, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-716-0051 Fax: 770-716-0087  | |
Dr. John E Burney, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214 Phone: 678-817-6550 Fax: 404-350-8795  |