JAWAHAR REDDY GAZZALA (NPI# 1033373238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033373238 |
| Entity Type | Individual |
| Full Name | JAWAHAR REDDY GAZZALA |
| Credential | M.D. |
| Practice Address |
1468 Montreal Rd Tucker GA 30084 |
| Mailing Address |
1468 Montreal Rd Tucker GA 30084-6901 |
| Practice Telephone | 4702736263 |
| Practice Fax Number | 6789164957 |
| Mailing Telephone | 4702736263 |
| Mailing Fax Number | 6789164957 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2018-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
79419 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
34141 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL BOARD | BP10039371 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 331 Parks Avenue, Scottsboro, AL 357682411 | 2562594745 | 2562591235 |
| 771 Old Norcross Rd Ste 310, Lawrenceville, GA 300464981 | 7705135999 | |
| 5667 Peachtree Dunwoody Rd Ste 390, Atlanta, GA 303421714 | 4702256117 | |
| 1505 Northside Blvd Ste 2500, Cumming, GA 300417662 | 6786796800 | |
| 4375 Johns Creek Pkwy Ste 350, Suwanee, GA 300246087 | 7706221622 | |
| 2665 N Decatur Rd Ste 320, Decatur, GA 300336136 | 4048563550 | |
| 5910 Hillandale Dr Ste 350, Lithonia, GA 300581880 | 6785788900 | |
| 4120 Five Forks Trickum Rd Sw Ste 103, Lilburn, GA 300478975 | 7702553491 |
| Street Address |
1468 MONTREAL RD |
| City | TUCKER |
| State | GA |
| Zip Code | 30084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396767695 | Bakhtiar Ali | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2006-07-24 |
| 1801415609 | Patrice T. Jones | Nurse Practitioner | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2020-04-11 |
| 1497387633 | Margaret Bronaugh Sporn | Nurse Practitioner | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2020-02-05 |
| 1497146351 | Jiyoun Leah Park | Physician Assistant | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2015-02-13 |
| 1093127755 | Harriett Laschell Allen | Nurse Practitioner | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2014-05-28 |
| 1902171085 | Mark J Schneider | Student in an Organized Health Care Education/Training Program | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2012-03-21 |
| 1497984660 | Mussie Gebremedihn | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2009-07-09 |
| 1821252081 | Ghazanfar Husein Qureshi | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2008-07-16 |
| 1437331196 | Binu James Kunjummen | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2007-12-04 |
| 1962590893 | Zoubin Alikhani | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| 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 |
|---|---|---|---|---|
| 1740458892 | Atlanta Cardiology and Primary Care PC | Internal Medicine | 3562 Habersham At Northlake Bldg J, Tucker, GA 30084-4009 | 2008-02-12 |
| 1629277017 | Atlanta Cardiology Primary Care PC | Internal Medicine | 3562 Habersham At Northlake, Building J, Tucker, GA 30084-4009 | 2007-07-16 |
| 1366436297 | David D Suh | Internal Medicine | 1468 Montreal Road, Tucker, GA 30084-6902 | 2005-09-07 |
| 1497984660 | Mussie Gebremedihn | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2009-07-09 |
| 1437331196 | Binu James Kunjummen | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2007-12-04 |
| 1306949854 | Linda Gin Yan | Internal Medicine | 1468 Montreal Road, Tucker, GA 30084-6902 | 2006-09-07 |
| 1871509422 | Anthony Dorsey | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6902 | 2006-08-01 |
| 1427021310 | Osman Ahmed | Internal Medicine | 1468 Montreal Road, Tucker, GA 30084 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 1992229884 | Medical Software, LLC | Internal Medicine | 3855 Pleasant Hill Rd Ste 350, Duluth, GA 30096-8093 | 2017-08-01 |
| 1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
| 1043684954 | Columbus Cardiology Associates, PC | Internal Medicine | 905 N Jackson St, Ste B, Americus, GA 31719-3089 | 2015-11-17 |
| 1649693045 | Avantgarde Consultants, Inc. | Internal Medicine | 10945 State Bridge Rd Ste 401-708, Alpharetta, GA 30022-8164 | 2014-01-22 |
| 1194153973 | Epic Group 8 | Internal Medicine | 760 Old Roswell Rd, Suite 114, Roswell, GA 30076-2279 | 2013-10-14 |
| 1982940987 | Southeastern Cardiovascular Associates LLC | Internal Medicine | 1076 Bermuda Run, Statesboro, GA 30458-0858 | 2012-12-19 |
| 1265798763 | Sulay Pankaj Patel | Internal Medicine | 101 Woodruff Circle Wmb 1013, Atlanta, GA 30322 | 2012-04-09 |
| 1073879573 | Ozlem Bilen | Internal Medicine | Emory University Cardiovascular, 101 Woodruff Circle, Wmb 3004, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1962779611 | Cardiac Consultants of Central Georgia | Internal Medicine | 2024 Watson Blvd Bldg 1, Warner Robins, GA 31093-3624 | 2011-11-23 |
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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.