| Ishwar Family Medicine | |
|
6045 Southard Trace Cumming GA 30040 | |
| (770) 888-0717 | |
| (770) 888-0763 |
| Full Name | Ishwar Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 6045 Southard Trace, Cumming, Georgia |
| Authorized Official Name and Position | Sarandeep K Makkar (PRESIDENT) |
| Authorized Official Contact | 7702351037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ishwar Family Medicine 6045 Southard Trace Cumming GA 30040 Ph: (770) 888-0717 | Ishwar Family Medicine 6045 Southard Trace Cumming GA 30040 Ph: (770) 888-0717 |
| NPI Number | 1477723526 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 02/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477723526 | NPI | - | NPPES |
| 221611733D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 058617 (Georgia) | Secondary |
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