| Om Healthcare Llc | |
|
1083 Parkway Blvd Athens GA 30606-6171 | |
| (347) 458-7445 | |
| Not Available |
| Full Name | Om Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1083 Parkway Blvd, Athens, Georgia |
| Authorized Official Name and Position | Kushal Patel (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3474587445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Om Healthcare Llc 455 Covington Cv Alpharetta GA 30022-5573 Ph: () - | Om Healthcare Llc 1083 Parkway Blvd Athens GA 30606-6171 Ph: (347) 458-7445 |
| NPI Number | 1902622137 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Medicare PECOS PAC ID | 3779004767 |
|---|---|
| Medicare Enrollment ID | O20250306001847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902622137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dellinia D Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851826390 PECOS PAC ID: 0244503928 Enrollment ID: I20170830003921 |
| Provider Name | Kushal P Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346500477 PECOS PAC ID: 9830400712 Enrollment ID: I20180721000138 |
| Provider Name | Amanda Y Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093218398 PECOS PAC ID: 6204187842 Enrollment ID: I20180920003560 |
| Provider Name | Troy Dennis Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194146720 PECOS PAC ID: 4880025063 Enrollment ID: I20200504002888 |
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