| Drs Chandrakanth & Nirmala Amaram | |
|
302 Uvalda St Waycross GA 31501-4551 | |
| (912) 285-2519 | |
| (912) 284-2482 |
| Full Name | Drs Chandrakanth & Nirmala Amaram |
|---|---|
| Speciality | Internal Medicine |
| Location | 302 Uvalda St, Waycross, Georgia |
| Authorized Official Name and Position | Chandrakanth Amaram (MD) |
| Authorized Official Contact | 9122852519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Chandrakanth & Nirmala Amaram 302 Uvalda St Waycross GA 31501-4551 Ph: (912) 285-2519 | Drs Chandrakanth & Nirmala Amaram 302 Uvalda St Waycross GA 31501-4551 Ph: (912) 285-2519 |
| NPI Number | 1902928526 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 06/01/2015 |
| Medicare PECOS PAC ID | 7719065085 |
|---|---|
| Medicare Enrollment ID | O20080428000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902928526 | NPI | - | NPPES |
| 000802315B | Medicaid | GA | |
| 000804372D | Medicaid | GA | |
| 000804372E | Medicaid | GA | |
| 000804372A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 159002 (Georgia) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 159002 (Georgia) | Primary |
| Provider Name | Chandrakanth Amaram |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992730881 PECOS PAC ID: 2062590334 Enrollment ID: I20080602000546 |
| Provider Name | Nirmala D Amaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548295405 PECOS PAC ID: 5092885129 Enrollment ID: I20080602000580 |
Beacon Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Beacon St, Waycross, GA 31501 Phone: 912-285-2440 Fax: 912-287-0197 | |
Southeast Georgia Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1362 | |
Peter Wrobel Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1720 Old Reynolds St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1360 | |
Dean E. Thornton, Dc, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Stephenson St, Waycross, GA 31501 Phone: 912-283-6043 Fax: 912-283-6043 | |
Southeast Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Riverside Dr, Waycross, GA 31501 Phone: 912-287-1555 | |
Packer Medical Services,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Knight Ave, Waycross, GA 31501 Phone: 912-283-2311 Fax: 912-283-8204 | |
Braco Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Riverside Ave, Waycross, GA 31501 Phone: 912-490-8546 Fax: 877-221-0052 |