| Dr Nimit K Lad, MD | |
| 
					2306 Wisteria Dr Ste 240, Snellville, GA 30078-3563  | |
| (678) 344-4944 | |
| (678) 344-4947 | 
| Full Name | Dr Nimit K Lad | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery | 
| Location | 2306 Wisteria Dr Ste 240, Snellville, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306296637 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MT211420 (Pennsylvania) | Secondary | 
| 207X00000X | Orthopaedic Surgery | 93041 (Georgia) | Primary | 
| Entity Name | Northside Surgical Professional Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Nimit K Lad, MD 2306 Wisteria Dr Ste 240, Snellville, GA 30078-3563 Ph: (678) 344-4944  | Dr Nimit K Lad, MD 2306 Wisteria Dr Ste 240, Snellville, GA 30078-3563 Ph: (678) 344-4944  | 
Dr. John Ryan Mahoney, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Ln Ste 300, Snellville, GA 30078 Phone: 678-205-4299 Fax: 678-214-6112  | |
Dr. Lattisha Latoyah Bilbrew, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Way Ste 150, Snellville, GA 30078 Phone: 770-979-9903  | |
Roosevelt Offoha, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Ln Ste 300, Snellville, GA 30078 Phone: 678-205-4299 Fax: 678-214-6112  | |
Dr. Sami Osman Khan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Lane Rd, Suite 300, Snellville, GA 30078 Phone: 770-979-9903 Fax: 770-979-7312  | |
Dr. Fred Daniel Koch, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Way, Suite 150, Snellville, GA 30078 Phone: 770-979-9903 Fax: 770-979-7312  | |
Mrs. Kaylee Radford Sexton, PA-C Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2820 Main St W, Snellville, GA 30078 Phone: 770-978-1422  |