| Hany M Bishara, MD | |
|
833 Campbell Hill St, Suite 111, Marietta, GA 30060 | |
| (770) 424-7800 | |
| (770) 426-8572 |
| Full Name | Hany M Bishara |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 833 Campbell Hill St, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760444186 | NPI | - | NPPES |
| 450161 | Other | GA | BLUE CROSS |
| 00531572A | Medicaid | GA | |
| 220020959 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 032874 (Georgia) | Primary |
| Entity Name | Etowah Pathology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134189491 PECOS PAC ID: 4789671025 Enrollment ID: O20040428000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Hany M Bishara, MD Po Box 60280, Mckesson Corp, Charleston, SC 29419-0280 Ph: (843) 569-4020 | Hany M Bishara, MD 833 Campbell Hill St, Suite 111, Marietta, GA 30060 Ph: (770) 424-7800 |
Burton Kim, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000 | |
Dr. Weijian Zhu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 488 Kennesaw Ave Nw, Marietta, GA 30060 Phone: 404-888-7575 Fax: 678-631-4624 | |
Dr. Sara Nolting, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435 | |
Dr. Sara Elizabeth Nash, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067 Phone: 770-951-1793 | |
Dr. Carol P Crisco, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435 | |
Haohai Liang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5505 Fax: 770-793-7919 | |
Dr. Aimee Popp, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435 Fax: 770-793-5472 |