| Mdcare Clinic LLC | |
|
106 Broad St Loganville GA 30052-7463 | |
| (442) 333-7656 | |
| Not Available |
| Full Name | Mdcare Clinic LLC |
|---|---|
| Speciality | General Practice |
| Location | 106 Broad St, Loganville, Georgia |
| Authorized Official Name and Position | Prashanth Rawla (OWNER) |
| Authorized Official Contact | 2146669528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdcare Clinic LLC 106 Broad St Loganville GA 30052-7463 | Mdcare Clinic LLC 106 Broad St Loganville GA 30052-7463 Ph: (442) 333-7656 |
| NPI Number | 1932947751 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Medicare PECOS PAC ID | 4688108012 |
|---|---|
| Medicare Enrollment ID | O20241107003342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932947751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Azeem A. Mohammed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124258843 PECOS PAC ID: 3476787029 Enrollment ID: I20170815001740 |
| Provider Name | Seema Faiyaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962663666 PECOS PAC ID: 4284873514 Enrollment ID: I20200309001441 |
| Provider Name | Prashanth Reddy Rawla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942596077 PECOS PAC ID: 8729203914 Enrollment ID: I20241023003627 |
Loganville Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4589 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 Fax: 770-466-2082 |
David a Fields MD Family Care PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 96 Tara Commons Dr, Loganville, GA 30052 Phone: 770-554-0399 Fax: 770-554-0058 |
Mobile Recovery Dolls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3925 Harrison Rd Ste 400, Loganville, GA 30052 Phone: 470-572-3199 Fax: 800-504-1362 |
Sanjeev S Tendolkar MD LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4589 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 |
Ndc Family Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Highway 81, Loganville, GA 30052 Phone: 770-554-8828 Fax: 770-554-9221 |
Gwinnett Clinic, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4397 Atlanta Hwy, Loganville, GA 30052 Phone: 770-554-0800 Fax: 770-554-0080 |