| Omni Virtual Health Care Inc | |
|
12895 Keystone Ct Alpharetta GA 30009-1526 | |
| (210) 379-8553 | |
| (910) 900-1239 |
| Full Name | Omni Virtual Health Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12895 Keystone Ct, Alpharetta, Georgia |
| Authorized Official Name and Position | Kishore Rasamallu (MD) |
| Authorized Official Contact | 2103798553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Virtual Health Care Inc 12895 Keystone Ct Alpharetta GA 30009-1526 Ph: (210) 379-8553 | Omni Virtual Health Care Inc 12895 Keystone Ct Alpharetta GA 30009-1526 Ph: (210) 379-8553 |
| NPI Number | 1093381709 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 05/18/2025 |
| Certification Date | 05/18/2025 |
| Medicare PECOS PAC ID | 2769883842 |
|---|---|
| Medicare Enrollment ID | O20210628000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093381709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Joseph R Herzberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205877438 PECOS PAC ID: 1850369687 Enrollment ID: I20040920001088 |
| Provider Name | Mollie Herzberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003868175 PECOS PAC ID: 5597706960 Enrollment ID: I20050516000748 |
| Provider Name | Saravanan J Kuppuswamy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093770844 PECOS PAC ID: 6709985864 Enrollment ID: I20100309000082 |
| Provider Name | Allison Brooke Santizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891112033 PECOS PAC ID: 6103137823 Enrollment ID: I20150623000781 |
| Provider Name | Ohridia a Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275559460 PECOS PAC ID: 0648572479 Enrollment ID: I20160111001060 |
| Provider Name | Brittany B D'amici |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487057618 PECOS PAC ID: 6800188772 Enrollment ID: I20160713001822 |
| Provider Name | Thammi Raju Vegiraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356611958 PECOS PAC ID: 5092956748 Enrollment ID: I20160912000857 |
| Provider Name | Karrie Hodges Pusateri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750839064 PECOS PAC ID: 0446539860 Enrollment ID: I20161108000093 |
| Provider Name | Paige Nicole Vogt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518435395 PECOS PAC ID: 3375880081 Enrollment ID: I20190201002533 |
| Provider Name | Kishore Reddy Rasamallu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568667863 PECOS PAC ID: 1254427388 Enrollment ID: I20190313003055 |
| Provider Name | Kathleen Ann Keirn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629632807 PECOS PAC ID: 5799011680 Enrollment ID: I20190731000029 |
| Provider Name | Austin Todey Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245894427 PECOS PAC ID: 7618301367 Enrollment ID: I20200106000916 |
| Provider Name | William Whitlock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144865551 PECOS PAC ID: 0941631287 Enrollment ID: I20200520002845 |
| Provider Name | Rana Muhammad Adeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528435724 PECOS PAC ID: 7214227479 Enrollment ID: I20201130003113 |
| Provider Name | Neel Naresh Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083096374 PECOS PAC ID: 3375805690 Enrollment ID: I20220111000505 |
| Provider Name | Nithin Devireddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083141477 PECOS PAC ID: 2567735061 Enrollment ID: I20220317000606 |
| Provider Name | Mystical Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982338737 PECOS PAC ID: 2062894017 Enrollment ID: I20220808001171 |
| Provider Name | Noelle Ann Celis Burkholder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518678994 PECOS PAC ID: 5294197828 Enrollment ID: I20230815000970 |
| Provider Name | Baraka K Karanja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003597642 PECOS PAC ID: 1153773338 Enrollment ID: I20240124000169 |
| Provider Name | Timothy Hsu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003436502 PECOS PAC ID: 4880128479 Enrollment ID: I20241105000880 |
| Provider Name | Lauren Michelle Warchalowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518512326 PECOS PAC ID: 5597294736 Enrollment ID: I20250203000070 |
| Provider Name | Kwasi Ampomah |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1629632211 PECOS PAC ID: 7618393562 Enrollment ID: I20250205000331 |
| Provider Name | Porshia Dawn Standifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164201141 PECOS PAC ID: 7618461716 Enrollment ID: I20251216000018 |
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