| Manjushree Ghose, MD | |
|
1595 Cleveland Ave, East Point, GA 30344-3200 | |
| (404) 616-2886 | |
| (404) 209-1769 |
| Full Name | Manjushree Ghose |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 46 Years |
| Location | 1595 Cleveland Ave, East Point, 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 |
|---|---|---|---|
| 1386644961 | NPI | - | NPPES |
| 00821631 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 042827 (Georgia) | Primary |
| 207Q00000X | Family Medicine | 042827 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grady Memorial Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grady Memorial Hospital Corporation | 7517032998 | 311 |
| Entity Name | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Manjushree Ghose, MD 75 Piedmont Ave, Suite 700, Atlanta, GA 30303-2544 Ph: (404) 616-1776 | Manjushree Ghose, MD 1595 Cleveland Ave, East Point, GA 30344-3200 Ph: (404) 616-2886 |
Dr. Ramona Ann Minnis, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1670 Washington Ave, East Point, GA 30344 Phone: 678-705-1691 Fax: 855-289-7475 | |
Ozita Dareace Cooper, MD Preventive Medicine Medicare: May Accept Medicare Assignments Practice Location: 3645 Marketplace Blvd, East Point, GA 30344 Phone: 833-633-3632 | |
Ayanna V Buckner, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1595 Cleveland Ave, East Point, GA 30344 Phone: 404-616-2886 Fax: 404-209-1769 |