SOUTH ATLANTA HEMATOLOGY ONCOLOGY PC (NPI# 1346209764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346209764 |
| Entity Type | Organization |
| Organization Name | SOUTH ATLANTA HEMATOLOGY ONCOLOGY PC |
| Practice Address |
253 Upper Riverdale Rd Sw Ste C Riverdale GA 30274-4945 |
| Practice Telephone | 7709960622 |
| Practice Fax Number | 7709961492 |
| Mailing Telephone | 7709960622 |
| Mailing Fax Number | 7709961492 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2019-05-18 |
| Authorized Official Name | DR. NAGENDER MANKAN (CEO) |
| Authorized Official Telephone | 7709960622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 34 Upper Riverdale Rd Se, Suite 200, Riverdale, GA 302742635 | 7709960622 | 7709961492 |
| Street Address |
253 UPPER RIVERDALE RD SW STE C |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578026431 | South Atlanta Psychiatry LLC | Psychiatric Unit | 253 Upper Riverdale Rd Sw Ste C, Riverdale, GA 30274-4945 | 2019-04-08 |
| 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 | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728326 | Tmg Northwest Georgia Oncology Center Inc | Internal Medicine | 705 Dallas Hwy Ste 204, Villa Rica, GA 30180-1243 | 2020-04-15 |
| 1710515184 | Tanner Oncology Services Inc | Internal Medicine | 157 Clinic Ave Ste 202, Carrollton, GA 30117-4454 | 2020-03-31 |
| 1396152922 | Dawn Diane Hassinger | Internal Medicine | 195 Mark Trl, Atlanta, GA 30328-2163 | 2014-07-15 |
| 1114247996 | John Heath West | Internal Medicine | 20 Liberty Creek Dr, Savannah, GA 31406-3224 | 2010-06-03 |
| 1871546200 | Ronald Douglas Wichman | Internal Medicine | 115 Eagle Spring Dr, Suite A, Stockbridge, GA 30281-6328 | 2006-05-18 |
| 1396735908 | Antonio Moran Jr. | Internal Medicine | 1111 Glynco Pkwy Ste 35, Brunswick, GA 31525-7930 | 2005-10-25 |
| 1114922267 | Nancy W Stead | Internal Medicine | 1848 Blue Ridge Dr Ne, Gainesville, GA 30501-1210 | 2005-06-16 |
| 1871055434 | North Atlanta Oncology Services LLC | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2019-04-03 |
| 1972065852 | Gwinnett Hospital System Tccc LLC | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2019-04-01 |
| 1063822393 | Ruth Lauren Sacks | Internal Medicine | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2014-05-08 |
| 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.