| Newtown Park Medical Clinic And Geriatrics Llc | |
|
3042 Oakcliff Rd Ste 200 Doraville GA 30340-2643 | |
| (470) 299-3991 | |
| (470) 299-3998 |
| Full Name | Newtown Park Medical Clinic And Geriatrics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3042 Oakcliff Rd Ste 200, Doraville, Georgia |
| Authorized Official Name and Position | Sudha Challa (PHYSICIAN) |
| Authorized Official Contact | 4702993991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newtown Park Medical Clinic And Geriatrics Llc 3042 Oakcliff Rd Ste 200 Doraville GA 30340-2643 Ph: (470) 299-3991 | Newtown Park Medical Clinic And Geriatrics Llc 3042 Oakcliff Rd Ste 200 Doraville GA 30340-2643 Ph: (470) 299-3991 |
| NPI Number | 1558916056 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 08/09/2025 |
| Medicare PECOS PAC ID | 3870825896 |
|---|---|
| Medicare Enrollment ID | O20191024001236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558916056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Samuel Deutsch |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538262167 PECOS PAC ID: 6406913383 Enrollment ID: I20111118000108 |
| Provider Name | Sudha Challa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871756627 PECOS PAC ID: 1850574609 Enrollment ID: I20140403000824 |
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