| Komal Ejaz, MD | |
|
1270 Prince Ave Ste 303, Athens, GA 30606-2783 | |
| (706) 475-7055 | |
| Not Available |
| Full Name | Komal Ejaz |
|---|---|
| Gender | Female |
| Speciality | Rheumatology |
| Experience | 9 Years |
| Location | 1270 Prince Ave Ste 303, Athens, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518522598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 99527 (Georgia) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 99527 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
| Piedmont Walton Hospital | Monroe, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Athens Specialty Care Llc | 8820349772 | 107 |
| Entity Name | Piedmont Athens Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184130627 PECOS PAC ID: 8820349772 Enrollment ID: O20180917001273 |
| Mailing Address | Practice Location Address |
|---|---|
| Komal Ejaz, MD 1270 Prince Ave Ste 303, Athens, GA 30606-2783 Ph: (706) 475-7055 | Komal Ejaz, MD 1270 Prince Ave Ste 303, Athens, GA 30606-2783 Ph: (706) 475-7055 |
Bannur Ramanna Nandeesh, Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-5076 | |
Krupal Jay Hari, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-475-1790 | |
Mr. Ashwin Thatti, Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606 Phone: 706-546-7484 | |
Dr. Stephen William Wilde, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 700 Sunset Dr, Suite 501, Athens, GA 30606 Phone: 706-208-0065 Fax: 706-459-8693 | |
Dr. James S Miller, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-546-1787 | |
Dr. Paul Peteet, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217 | |
Diana T Blake, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2470 Daniells Bridge Rd Ste 231, Athens, GA 30606 Phone: 706-769-3362 Fax: 706-769-5675 |