| Syed Abuzar Waseem Ahmed, | |
|
1602 Vernon Rd Ste 400, Lagrange, GA 30240-4129 | |
| (706) 882-9341 | |
| (706) 884-0131 |
| Full Name | Syed Abuzar Waseem Ahmed |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 1602 Vernon Rd Ste 400, 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 |
|---|---|---|---|
| 1144470840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C1-0011103 (Delaware) | Secondary |
| 208M00000X | Hospitalist | C1-0011103 (Delaware) | Secondary |
| 207R00000X | Internal Medicine | 070332 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hapeville Dialysis Center | Hapeville, GA | Dialysis facility |
| Georgia Home Health | Columbus, GA | Home health agency |
| West Georgia Home Care | Lagrange, GA | Home health agency |
| Kindred At Home | 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 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Syed Abuzar Waseem Ahmed, 1514 Vernon Rd, Lagrange, GA 30240-4131 Ph: (706) 812-2369 | Syed Abuzar Waseem Ahmed, 1602 Vernon Rd Ste 400, Lagrange, GA 30240-4129 Ph: (706) 882-9341 |
Steven Tae Yi, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 | |
Juan Francisco Vasquez Mendez, MD Internal Medicine 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. Internal Medicine 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Dr Ste 704, Lagrange, GA 30240 Phone: 706-880-7361 | |
Mr. Melhim Bou Alwan, M.D. Internal Medicine 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7222 Fax: 706-880-7223 |