| Mohd Khairul Anam, MD | |
|
142 Old Mill Road, Lagrange, GA 30241 | |
| (706) 885-1900 | |
| (706) 882-1350 |
| Full Name | Mohd Khairul Anam |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 42 Years |
| Location | 142 Old Mill Road, Lagrange, 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 |
|---|---|---|---|
| 1356354500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 039720 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Troup County Dialysis | Lagrange, GA | Dialysis facility |
| Georgia Home Health | Columbus, GA | Home health agency |
| Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lagrange Internal Medicine, Pc | 4183663750 | 8 |
| Entity Name | Lagrange Internal Medicine, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831267632 PECOS PAC ID: 4183663750 Enrollment ID: O20050503000581 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohd Khairul Anam, MD 1602 Vernon Rd Ste 400, Lagrange, GA 30240-4129 Ph: (706) 882-9341 | Mohd Khairul Anam, MD 142 Old Mill Road, Lagrange, GA 30241 Ph: (706) 885-1900 |
Steven Tae Yi, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 | |
Juan Francisco Vasquez Mendez, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 106 Old Mill Rd Ste 100, Lagrange, GA 30241 Phone: 706-803-8500 | |
Kenneth T Horlander, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091 | |
Ravina V Kadam, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Dr Ste 704, Lagrange, GA 30240 Phone: 706-880-7361 | |
Syed Abuzar Waseem Ahmed, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1602 Vernon Rd Ste 400, Lagrange, GA 30240 Phone: 706-882-9341 Fax: 706-884-0131 | |
Mr. Melhim Bou Alwan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471 | |
Dr. Ariyo Oluwole Olobatoke, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7222 Fax: 706-880-7223 |