| Iris Altagracia Castro-revoredo, MD | |
|
601 S 8th St, Griffin, GA 30224-4213 | |
| (770) 467-6314 | |
| (770) 467-6324 |
| Full Name | Iris Altagracia Castro-revoredo |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 601 S 8th St, Griffin, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801984562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 56984 (Georgia) | Primary |
| 207R00000X | Internal Medicine | 056984 (Georgia) | Secondary |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | City Of Hope Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
| Entity Name | Hardy Renew Wellness,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534 |
| Entity Name | Georgia Mso Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952196164 PECOS PAC ID: 3173041639 Enrollment ID: O20250519001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Iris Altagracia Castro-revoredo, MD 13957 Woolsey Rd, Hampton, GA 30228-2246 Ph: (770) 703-6601 | Iris Altagracia Castro-revoredo, MD 601 S 8th St, Griffin, GA 30224-4213 Ph: (770) 467-6314 |
Nageshwar Reddy Kothur, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 601 South 8th Street, Griffin, GA 30224 Phone: 770-228-2721 | |
Lewam Berhe, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 601 S 8th St, Griffin, GA 30224 Phone: 770-228-2721 | |
Krishna Kanth Gali, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 747 S 8th St Ste B, Griffin, GA 30224 Phone: 470-604-8250 |