| Ujwal Patel, MD | |
| 
					610 Peachtree Pkwy Ste 130, Cumming, GA 30041-9778  | |
| (770) 205-2804 | |
| (770) 205-2854 | 
| Full Name | Ujwal Patel | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 610 Peachtree Pkwy Ste 130, Cumming, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780241430 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 93544 (Georgia) | Primary | 
| 207Q00000X | Family Medicine | R-11459 (Iowa) | Secondary | 
| Entity Name | Northside Primary Care Professional Services,llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206  | 
| Entity Name | Wellstreet Of Georgia Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603  | 
| Entity Name | Northside Urgent Care Holding Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679962237 PECOS PAC ID: 4587984695 Enrollment ID: O20150513000795  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ujwal Patel, MD 610 Peachtree Pkwy Ste 130, Cumming, GA 30041-9778 Ph: (770) 205-2804  | Ujwal Patel, MD 610 Peachtree Pkwy Ste 130, Cumming, GA 30041-9778 Ph: (770) 205-2804  | 
Sarah Ashley Mun, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3970 Deputy Bill Cantrell Mem Ste 220, Cumming, GA 30040 Phone: 770-709-6922  | |
Rishita Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Keith Bridge Rd Ste 100, Cumming, GA 30041 Phone: 770-848-9200  | |
David K. Moore, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2825 Keith Bridge Rd, Suite 100, Cumming, GA 30041 Phone: 770-844-7494 Fax: 770-844-7445  | |
Navneet Johal, NURSE PRACTITIONER Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Northside Forsyth Dr Ste 200, Cumming, GA 30041 Phone: 770-898-8388 Fax: 770-898-8389  | |
Sheba Naqvi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1230 Bald Ridge Marina Rd Ste 400, Cumming, GA 30041 Phone: 470-826-1905 Fax: 470-826-3334  | |
Dr. Jacob Varghese, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Northside Forsyth Dr Ofc, Suite 350, Cumming, GA 30041 Phone: 404-365-0966 Fax: 770-650-5589  | |
Shany Cohen-sadan,  Family Medicine Medicare: Medicare Enrolled Practice Location: 610 Peachtree Pkwy Ste 130, Cumming, GA 30041 Phone: 770-205-2804 Fax: 770-205-2854  |