| Dr Yohan Song, MD | |
|
1360 Upper Hembree Rd Ste 101, Roswell, GA 30076-1230 | |
| (770) 225-1874 | |
| (678) 254-0618 |
| Full Name | Dr Yohan Song |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 11 Years |
| Location | 1360 Upper Hembree Rd Ste 101, Roswell, 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 |
|---|---|---|---|
| 1295122265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 282986 (Massachusetts) | Secondary |
| 207Y00000X | Otolaryngology | 90653 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Surgical Professional Services Llc | 8628253424 | 332 |
| 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 Yohan Song, MD 1360 Upper Hembree Rd Ste 101, Roswell, GA 30076-1230 Ph: (770) 225-1874 | Dr Yohan Song, MD 1360 Upper Hembree Rd Ste 101, Roswell, GA 30076-1230 Ph: (770) 225-1874 |
Vivek V. Gurudutt, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1360 Upper Hembree Rd, Suite 201b, Roswell, GA 30076 Phone: 770-475-3361 Fax: 770-664-4431 | |
Dr. Andrew Diamond, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076 Phone: 770-475-3361 Fax: 770-664-4431 | |
Sunny Singh Khichi, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Boulevard, Suite 450, Roswell, GA 30076 Phone: 770-343-8675 Fax: 770-343-6297 | |
Dr. Keith Jackson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076 Phone: 770-475-3361 | |
Fiyin Sokoya, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076 Phone: 770-475-3361 | |
Kia Renee Jones, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076 Phone: 770-475-3361 Fax: 770-664-4431 |