| Khaja Ahmed, MD | |
|
852 Dacula Rd, Dacula, GA 30019-3185 | |
| (770) 848-9360 | |
| (770) 848-9361 |
| Full Name | Khaja Ahmed |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 852 Dacula Rd, Dacula, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902910409 | NPI | - | NPPES |
| 000922127A | Medicaid | GA | |
| 080174767 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 42159 (Georgia) | Primary |
| Entity Name | Oak Street Health Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588258024 PECOS PAC ID: 0345658647 Enrollment ID: O20210427001330 |
| Mailing Address | Practice Location Address |
|---|---|
| Khaja Ahmed, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Khaja Ahmed, MD 852 Dacula Rd, Dacula, GA 30019-3185 Ph: (770) 848-9360 |
Dr. Mary Lu Mcneill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3605 Braselton Hwy, Suite 101, Dacula, GA 30019 Phone: 678-804-7430 Fax: 678-804-7418 | |
Mrs. Colleen Aletha Montaque, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2926 Mill Park Ct, Dacula, GA 30019 Phone: 347-678-2865 | |
Jocilli Walton, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Auburn Rd Ste 230, Dacula, GA 30019 Phone: 678-232-7332 Fax: 470-300-1100 | |
Dr. Ndubuisi Apu Ndukwe, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 852 Dacula Rd, Dacula, GA 30019 Phone: 770-848-9380 | |
Dr. Amy E. Bailey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 852 Dacula Rd, Dacula, GA 30019 Phone: 770-848-9380 Fax: 770-848-9381 | |
Elvira Jasarevic, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3575 Braselton Hwy, Dacula, GA 30019 Phone: 770-848-5300 | |
Minkailu Sesay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 852 Dacula Rd, Dacula, GA 30019 Phone: 770-848-9380 Fax: 770-848-9381 |