| Tandua O Washington, MD | |
| 
					85 Richlake Dr Ste 350, Suwanee, GA 30024-4315  | |
| (404) 949-5019 | |
| (979) 256-0862 | 
| Full Name | Tandua O Washington | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 85 Richlake Dr Ste 350, Suwanee, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811935117 | NPI | - | NPPES | 
| 274383052H | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 053076 (Georgia) | Primary | 
| Entity Name | The Southeast Permanente Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tandua O Washington, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1773 Ph: (404) 364-7000  | Tandua O Washington, MD 85 Richlake Dr Ste 350, Suwanee, GA 30024-4315 Ph: (404) 949-5019  | 
Kara Lauren Barlow, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4310 Johns Creek Pkwy, Suite 150, Suwanee, GA 30024 Phone: 770-476-4020 Fax: 770-476-1674  | |
Penny M Forman Blitzer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4310 Johns Creek Pkwy, Suite 150, Suwanee, GA 30024 Phone: 770-476-4020 Fax: 770-476-1674  | |
Ansley Yellen Feldman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4395 Johns Creek Pkwy Ste 150, Suwanee, GA 30024 Phone: 770-814-1160 Fax: 770-814-1173  | |
Dr. Karen B. Dewling, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4035 Johns Creek Pkwy, Suite A, Suwanee, GA 30024 Phone: 770-814-1160 Fax: 770-814-1173  | |
Jennifer R Kadlec-looby, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4395 Johns Creek Pkwy Ste 150, Suwanee, GA 30024 Phone: 770-814-1160  | |
Panyavee Khan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4310 Johns Creek Pkwy, Suite 150, Suwanee, GA 30024 Phone: 770-476-4020 Fax: 770-476-1674  | |
Dr. Effie S Dolores, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4485 Tench Rd, Ste 630, Suwanee, GA 30024 Phone: 770-904-5252  |