PRAVEEN RASTOGI (NPI# 1265406375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265406375 |
| Entity Type | Individual |
| Full Name | PRAVEEN RASTOGI |
| Other Name | PRAVEEN RASTOGI |
| Credential | MD, FCCP, ABSM |
| Practice Address |
6572 River Park Dr Ste 101 Riverdale GA 30274-2550 |
| Practice Telephone | 7709966699 |
| Practice Fax Number | 7706922375 |
| Mailing Telephone | 7709966699 |
| Mailing Fax Number | 7706922375 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2017-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
26176 | GA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
26176 | GA | Allopathic & Osteopathic Physicians |
| N | 173F00000X | Sleep Specialist, PhD | 26176 | GA | Other Service Providers |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
26176 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 002866668A | 05 |
| Street Address |
6572 RIVER PARK DR STE 101 |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417921552 | Carlette Graham | Specialist | 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2550 | 2006-02-15 |
| 1093180473 | Julia A Belcher | Licensed Practical Nurse | 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2214 | 2015-12-10 |
| 1710017413 | Med South Associates PC 2 LLC | Internal Medicine | 6572 River Park Dr, Suite 102, Riverdale, GA 30274-2214 | 2007-03-06 |
| 1518024694 | Kaia Lowe | Physician Assistant | 6572 River Park Dr, #101, Riverdale, GA 30274-2214 | 2007-01-02 |
| 1457425480 | Andre' Reshaun Holmes | Specialist | 6572 River Park Dr, Riverdale, GA 30274-2214 | 2006-11-20 |
| 1770592776 | Sleepmed Inc. | Clinic/Center | 6572 River Park Dr, Suite 201, Riverdale, GA 30274-2214 | 2006-08-07 |
| 1720009244 | Pulmonary Medicine Associates | Specialist | 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2214 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817992 | Ognomy Ga LLC | Internal Medicine | 3750 Palladian Village Dr Ste 120, Marietta, GA 30066-8202 | 2020-10-05 |
| 1275048043 | Digicom Healthcare Solution | Internal Medicine | 3330 S Cobb Dr Se Ste B, Smyrna, GA 30080-4128 | 2017-12-03 |
| 1457776916 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 201 N River St, Claxton, GA 30417-1658 | 2014-02-20 |
| 1790020444 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 215 Sheraton Blvd, Suite 2, Macon, GA 31210-1359 | 2012-12-06 |
| 1447501812 | Advanced Center for Sleep Disorders, Inc | Internal Medicine | 2052 Highway 41, Ringgold, GA 30736-6455 | 2012-09-26 |
| 1265755839 | Southeast Lung & Critical Care Specialists | Internal Medicine | 895 S 1st St, Jesup, GA 31545-0210 | 2010-03-10 |
| 1053634618 | Southeast Lung & Critical Care Specialists | Internal Medicine | 340 Eisenhower Dr Ste 1500, Savannah, GA 31406-1603 | 2010-03-10 |
| 1902812985 | Palghat V Mohan | Internal Medicine | 357 Villa Park Cir, Stone Mountain, GA 30087-3503 | 2006-07-31 |
| 1033115258 | Abul Faiz Matin | Internal Medicine | 993-c Johnson Ferry Road, Ste 301, Atlanta, GA 30342 | 2005-06-22 |
| 1558984252 | Advantage Medical Supply, Inc. | Internal Medicine | 1202 Hillcrest Pkwy Ste A, Dublin, GA 31021-3053 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.