| Keith C Raziano, MD | |
|
5730 Glenridge Dr Ne, Suite 100, Sandy Springs, GA 30328-6141 | |
| (404) 816-3000 | |
| (678) 904-5797 |
| Full Name | Keith C Raziano |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 25 Years |
| Location | 5730 Glenridge Dr Ne, Sandy Springs, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194781070 | NPI | - | NPPES |
| 1710946322 | Other | GA | GROUP NPI NUMBER |
| 646007054A | Medicaid | GA | |
| 7627358 | Other | GA | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 050988 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Spine And Rehab Specialists Of Ga | 6002700960 | 6 |
| Entity Name | Physicians Spine And Rehab Specialists Of Ga |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710946322 PECOS PAC ID: 6002700960 Enrollment ID: O20040211000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith C Raziano, MD 5730 Glenridge Dr Ne, Suite 100, Sandy Springs, GA 30328-6141 Ph: (404) 816-3000 | Keith C Raziano, MD 5730 Glenridge Dr Ne, Suite 100, Sandy Springs, GA 30328-6141 Ph: (404) 816-3000 |
Brittany Marie Gillenwater, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4020 Spring Creek Ln, Sandy Springs, GA 30350 Phone: 770-395-1944 | |
Dr. Iris X Tian, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 275 Carpenter Dr Ste 303, Sandy Springs, GA 30328 Phone: 470-570-4341 Fax: 404-446-4136 |