Max Allen Mondestin (NPI# 1902197973, PAC ID# 8729377650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1902197973 |
| PAC ID by PECOS | 8729377650 |
| Professional Enrollment ID | I20181105001411 |
| Full Name | Max Allen Mondestin |
| Organization Legal Name | ATLANTA SPINE,PC |
| Address |
1288 Wellbrook Cir Ne Suite A Conyers GA 30012-8032 |
| Phone Number | 6783696934 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0547564148 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110076 | DEKALB MEDICAL CENTER |
| 110091 | PIEDMONT ROCKDALE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1288 Wellbrook Cir Ne, Suite A, Conyers, GA 30012-8032 | 6783696934 | ATLANTA SPINE,PC |
| Organization Legal Name | ATLANTA SPINE,PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harvinder Bhatti | Orthopedic Surgery | Atlanta Spine,pc | 1288 Wellbrook Cir Ne, Suite A, Conyers, GA 30012-8032 |
| Gaurav K Rajput | Pain Management | Atlanta Spine,pc | 1288 Wellbrook Cir Ne, Suite A, Conyers, GA 30012-8032 |
| Street Address |
1288 WELLBROOK CIR NE SUITE A |
| City | CONYERS |
| State | GA |
| Zip | 30012-8032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harvinder Bhatti | Orthopedic Surgery | Atlanta Spine,pc | 1288 Wellbrook Cir Ne, Suite A, Conyers, GA 30012-8032 |
| Gaurav K Rajput | Pain Management | Atlanta Spine,pc | 1288 Wellbrook Cir Ne, Suite A, Conyers, GA 30012-8032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Wilder | Chiropractic | 1091 W Ave Sw, Conyers, GA 30012 | |
| Sitharam Chowdary Nandigam | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Ekundayo A Falase | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Yilikal Tassew Kassa | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Nardos Ketema Belayneh | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Neil A Trossevin | Physician Assistant | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Allen A Futral | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Bert T Chen | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Froylan C Gonzales | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Kisha Adderley | Nurse Practitioner | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| Find all physicians in zip 30012 | |||
| City | CONYERS |
| Zip Code | 30012 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | CONYERS + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Max Allen Mondestin.
| 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.