| Hisham H Goreish, MD | |
|
150 Gilbreath Dr, Oneonta, AL 35121-2827 | |
| (205) 274-3004 | |
| (205) 274-3002 |
| Full Name | Hisham H Goreish |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 150 Gilbreath Dr, Oneonta, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013999291 | NPI | - | NPPES |
| 051531620 | Other | AL | BCBS |
| 009914077 | Medicaid | AL | |
| 051545800 | Other | AL | BCBS |
| 051531620 | Medicaid | AL | |
| 051557081 | Medicaid | AL | |
| 7903244 | Other | AL | AETNA |
| 051531845 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 46854 (Georgia) | Primary |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Angelfish Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407259500 PECOS PAC ID: 7517282817 Enrollment ID: O20150209000684 |
| Entity Name | Athens Clarke Medical Enterprises Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295370542 PECOS PAC ID: 0547698680 Enrollment ID: O20200324000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Hisham H Goreish, MD 2416 Brynlyn Woods Dr Ne, Conyers, GA 30013-1426 Ph: (770) 922-7664 | Hisham H Goreish, MD 150 Gilbreath Dr, Oneonta, AL 35121-2827 Ph: (205) 274-3004 |
Stephen L Avram, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2040 2nd Ave E, Suite A, Oneonta, AL 35121 Phone: 205-274-9700 Fax: 205-274-9714 | |
Randall G. Hess, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Suite 102, Oneonta, AL 35121 Phone: 205-274-3323 Fax: 205-274-3396 | |
Zakir N Khan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Lemley Dr, Suite A, Oneonta, AL 35121 Phone: 205-625-3561 Fax: 205-274-9638 |