| Subodh K Agrawal, MD | |
|
2005 Prince Ave, Athens, GA 30606-6032 | |
| (706) 208-9700 | |
| (706) 208-0806 |
| Full Name | Subodh K Agrawal |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 36 Years |
| Location | 2005 Prince Ave, Athens, 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 |
|---|---|---|---|
| 1366443640 | NPI | - | NPPES |
| 00414554E | Medicaid | GA | |
| 060047315 | Other | GA | RR MEDICARE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athens Heart Center, Pc | 0244134583 | 3 |
| Medical Office Force | 9335481951 | 55 |
| Entity Name | Athens Heart Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447338744 PECOS PAC ID: 0244134583 Enrollment ID: O20031120000014 |
| Entity Name | Medical Office Force |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508378613 PECOS PAC ID: 9335481951 Enrollment ID: O20190501001903 |
| Entity Name | Family First Healthcare Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851857312 PECOS PAC ID: 9931524964 Enrollment ID: O20200806003820 |
| Mailing Address | Practice Location Address |
|---|---|
| Subodh K Agrawal, MD 2005 Prince Ave, Athens, GA 30606-6032 Ph: (706) 208-9700 | Subodh K Agrawal, MD 2005 Prince Ave, Athens, GA 30606-6032 Ph: (706) 208-9700 |
Bannur Ramanna Nandeesh, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-5076 | |
Krupal Jay Hari, M.D. Cardiovascular Disease 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, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606 Phone: 706-546-7484 | |
Dr. Stephen William Wilde, M.D. Cardiovascular Disease 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 Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-546-1787 | |
Dr. Paul Peteet, MD Cardiovascular Disease 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 Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2470 Daniells Bridge Rd Ste 231, Athens, GA 30606 Phone: 706-769-3362 Fax: 706-769-5675 |