Shahid Rafique (NPI# 1295806495, PAC ID# 4284729351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1295806495 |
| PAC ID by PECOS | 4284729351 |
| Professional Enrollment ID | I20071004000124 |
| Full Name | Shahid Rafique |
| Organization Legal Name | DEKALB MEDICAL PRIMARY CARE GROUP LLC |
| Address |
2356 Lenora Church Rd Snellville GA 30078-3233 |
| Phone Number | 7709720340 |
| Gender | M |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 1557411162 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110192 | EASTSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 487 Winn Way, Suite 202, Decatur, GA 30333-1728 | 4042940702 | DEKALB MEDICAL PRIMARY CARE GROUP LLC |
| 2356 Lenora Church Rd, Snellville, GA 30078-3233 | 7709720340 | DEKALB MEDICAL PRIMARY CARE GROUP LLC |
| Organization Legal Name | DEKALB MEDICAL PRIMARY CARE GROUP LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina B Knox | Physician Assistant | Dekalb Medical Primary Care Group LLC | 200 E Ponce De Leon Ave, Suite 110, Decatur, GA 30030-3467 |
| Charles D Barclay | Family Practice | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Suite 202, Decatur, GA 30333-1728 |
| Vera A Reaves | Family Practice | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Suite 202, Decatur, GA 30333-1728 |
| John H Ahrendt | Family Practice | Dekalb Medical Primary Care Group LLC | 2356 Lenora Church Rd, Snellville, GA 30078-3233 |
| John W Budell | Internal Medicine | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Decatur, GA 30333-1728 |
| Kelley S Wharton | Nurse Practitioner | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Decatur, GA 30333-1728 |
| David J Roth | Internal Medicine | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Decatur, GA 30333-1728 |
| Sharon R Rabinovitz | Family Practice | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Suite 202, Decatur, GA 30333-1728 |
| Dean S Attaway | Family Practice | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Suite 202, Decatur, GA 30333-1728 |
| Street Address |
2356 LENORA CHURCH RD |
| City | SNELLVILLE |
| State | GA |
| Zip | 30078-3233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John H Ahrendt | Family Practice | Dekalb Medical Primary Care Group LLC | 2356 Lenora Church Rd, Snellville, GA 30078-3233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Ann Mire | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Ramanjaneyulu V Dronavalli | Internal Medicine | 2138 Scenic N Hwy A, Snellville, GA 30078 | |
| Jody Meek | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Brittany E Bradley | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Keith Alan Housman | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Thien D Quach | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Benjamin Lee Hicks | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Geetha Jonnala | Rheumatology | 1567 Janmar Rd, Suite 100, Snellville, GA 30078-0308 | |
| Oyinkansola Akinmade | Physical Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Allison L Guisasola | Occupational Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Find all physicians in zip 30078 | |||
| City | SNELLVILLE |
| Zip Code | 30078 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SNELLVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shahid Rafique.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.