AMIT V. TIBREWALA (NPI# 1720275233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720275233 |
| Entity Type | Individual |
| Full Name | AMIT V. TIBREWALA |
| Credential | MD |
| Practice Address |
1505 Northside Forsyth Dr Ste 3600 Cumming GA 30041 |
| Mailing Address |
873 Brightwater Cir Maitland FL 32751-4233 |
| Practice Telephone | 7703438565 |
| Practice Fax Number | 7707813559 |
| Mailing Telephone | 4072841914 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
068325 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME 108835 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003125698M | 05 | |
| GA | 003125698N | 05 | |
| GA | 003125698D | 05 | |
| GA | 003125698L | 05 |
| Street Address |
1505 NORTHSIDE FORSYTH DR STE 3600 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548395957 | Edward Harley Gaile Sr. | Physician Assistant | 1505 Northside Forsyth Dr, Ste 3600, Cumming, GA 30041 | 2007-02-23 |
| 1093009425 | Max Benson | Internal Medicine | 1505 Northside Forsyth Dr, Ste 3600, Cumming, GA 30041 | 2011-06-02 |
| 1033444930 | Alexander Heckman | Physician Assistant | 1505 Northside Forsyth Dr, Ste 3500, Cumming, GA 30041 | 2009-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861771701 | Hyo Jin Song | Internal Medicine | 1505 Northside Blvd Ste 3600, Cumming, GA 30041-8245 | 2011-08-09 |
| 1083912851 | Cardiology of South Forsyth, P.C. | Internal Medicine | 1615 Heathrow Dr, Cumming, GA 30041-6183 | 2011-03-03 |
| 1174641898 | North Atlanta Heart & Vascular Centre | Internal Medicine | 1400 Northside Forsyth Drive, Suite 380, Cumming, GA 30041-6018 | 2007-03-27 |
| 1144360413 | Veerappan Subramaniyam | Internal Medicine | 900 Sanders Rd Ste A, Cumming, GA 30041-5960 | 2007-02-07 |
| 1881604767 | Michael Lee Waller | Internal Medicine | 950 Sanders Rd, Cumming, GA 30041-5960 | 2006-08-09 |
| 1649206905 | Kathleen Ann Halvey | Internal Medicine | 1400 Northside Forsyth Dr Ste 170, Cumming, GA 30041-7668 | 2006-06-25 |
| 1497794135 | Jeremy S Khan | Internal Medicine | 759 Peachtree Pkwy, Suite 3, Cumming, GA 30041-9350 | 2006-06-06 |
| 1760477202 | Narendra Singh | Internal Medicine | 1505 Northside Boulevard, Suite 2500, Cumming, GA 30041 | 2005-09-12 |
| 1578562187 | William Manchester Hudson | Internal Medicine | 110 Samaritan Dr, Ste 101, Cumming, GA 30040-2535 | 2005-07-15 |
| 1750700332 | Landai Nguyen | Internal Medicine | 900 Sanders Rd Ste A, Cumming, GA 30041-5960 | 2014-04-10 |
| Find all providers in CUMMING | ||||
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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.