| Kiran Pratap, MD | |
|
3950 Austell Rd, Box 22, Austell, GA 30106-1121 | |
| (470) 732-4022 | |
| (470) 732-4023 |
| Full Name | Kiran Pratap |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 3950 Austell Rd, Austell, 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 |
|---|---|---|---|
| 1649431586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125051967 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 068276 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph's Hospital Of Atlanta, Inc | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Southeast Permanente Medical Group | 6204829013 | 658 |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiran Pratap, MD 3495 Piedmont Rd Ne, Atlanta, GA 30305-1717 Ph: (404) 365-0966 | Kiran Pratap, MD 3950 Austell Rd, Box 22, Austell, GA 30106-1121 Ph: (470) 732-4022 |
Leslie A Choy-hee, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4025 Fax: 770-732-4023 | |
Dr. Rifquat Giwa, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4025 Fax: 770-732-4023 | |
Dr. Olatunde Idowu, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Box 22, Austell, GA 30106 Phone: 770-732-4022 Fax: 770-732-4023 | |
Dr. Sibil Mathew, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 470-732-4022 Fax: 470-732-4023 | |
Ms. Saira I Alimohamed, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd # 22, Austell, GA 30106 Phone: 770-732-4022 | |
Leonard L Sacks, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd # 22, Austell, GA 30106 Phone: 770-732-4022 Fax: 770-732-4023 |