| Comprehensive Internal Medicine | |
|
3890 Johns Creek Pkwy Ste 120 Suwanee GA 30024-1285 | |
| (770) 622-9002 | |
| (770) 622-9004 |
| Full Name | Comprehensive Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 3890 Johns Creek Pkwy Ste 120, Suwanee, Georgia |
| Authorized Official Name and Position | Anju Bhushan (OWNER) |
| Authorized Official Contact | 7706229002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Internal Medicine 3890 Johns Creek Pkwy Ste 120 Suwanee GA 30024-1285 Ph: (770) 622-9002 | Comprehensive Internal Medicine 3890 Johns Creek Pkwy Ste 120 Suwanee GA 30024-1285 Ph: (770) 622-9002 |
| NPI Number | 1104966050 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/15/2023 |
| Medicare PECOS PAC ID | 7911993498 |
|---|---|
| Medicare Enrollment ID | O20040421000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104966050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Laurae M Carpenetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386619872 PECOS PAC ID: 5496706731 Enrollment ID: I20050203000900 |
| Provider Name | Jacqueline T Tucci-pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699853937 PECOS PAC ID: 4486677549 Enrollment ID: I20060104000744 |
| Provider Name | Anju Bhushan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649358961 PECOS PAC ID: 2961425566 Enrollment ID: I20060111000564 |
| Provider Name | Arezou Fatemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194803445 PECOS PAC ID: 6608899034 Enrollment ID: I20060111000583 |
| Provider Name | Petula Y Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659553774 PECOS PAC ID: 9436236999 Enrollment ID: I20080408000404 |
| Provider Name | Sudeshna Nandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487671319 PECOS PAC ID: 9335211499 Enrollment ID: I20080707000243 |
| Provider Name | Ryan G Bozof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548482789 PECOS PAC ID: 6800962994 Enrollment ID: I20080915000455 |
| Provider Name | Carol A Hector |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356344477 PECOS PAC ID: 3971645656 Enrollment ID: I20100119000083 |
| Provider Name | Michelle Marie Sanborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891933792 PECOS PAC ID: 9032101985 Enrollment ID: I20150916002958 |
| Provider Name | Sumera Pervaiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619382009 PECOS PAC ID: 2668762493 Enrollment ID: I20171018001449 |
| Provider Name | Jeffrey Obiora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023547460 PECOS PAC ID: 6800149204 Enrollment ID: I20210721000644 |
| Provider Name | Raphael L Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932177177 PECOS PAC ID: 5395818322 Enrollment ID: I20220414001259 |
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Independent Physical Therapy Of Georgia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7350 Mcginnis Ferry Rd Ste 200, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082 |