SUBODH K LAL (NPI# 1699748988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699748988 |
| Entity Type | Individual |
| Full Name | SUBODH K LAL |
| Credential | MD |
| Practice Address |
4441 Atlanta Rd Se Ste 204 Smyrna GA 30080-6442 |
| Mailing Address |
711 Canton Rd Ne Suite 300 Marietta GA 30060-8948 |
| Practice Telephone | 6787415000 |
| Practice Fax Number | 7707392318 |
| Mailing Telephone | 6787415000 |
| Mailing Fax Number | 6788194280 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 052771 | GA | Other Service Providers |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
052771 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 118202729A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 Hospital South Dr, Suite 410, Austell, GA 30106 | 7707399555 | 7707392318 |
| Street Address |
4441 ATLANTA RD SE STE 204 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-6442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316910615 | Priti Pandya | Specialist | 4441 Atlanta Rd Se Ste 204, Smyrna, GA 30080 | 2006-02-08 |
| 1669445938 | Francisco J Cardenas | Specialist | 4441 Atlanta Rd Se Ste 204, Smyrna, GA 30080 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1093825846 | Thomas John Demarco | Internal Medicine | 3969 S Cobb Dr Se Ste 202, Smyrna, GA 30080-6317 | 2006-08-30 |
| 1922295617 | Thomas J. Demarco | Internal Medicine | 3969 S Cobb Dr Se Ste 202, Smyrna, GA 30080-6317 | 2007-09-27 |
| 1578597902 | Anthony Montemuro | Internal Medicine | 300 Stonecrest Blvd, Suite 455, Smyrna, TN 37167-5688 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741448 | Gastro Consultants of Atlanta PC | Internal Medicine | 5669 Peachtree Dunwoody Rd Ste 270, Atlanta, GA 30342-1786 | 2019-07-02 |
| 1023582798 | Digestive Care Consultants, LLC | Internal Medicine | 11315 Johns Creek Pkwy Ste 400, Johns Creek, GA 30097-1517 | 2019-01-16 |
| 1285122465 | Atlanta Premier Gi Endoscopy, LLC | Internal Medicine | 3400 Mcclure Bridge Rd Ste B201, Duluth, GA 30096-8705 | 2018-04-24 |
| 1346762838 | Precision Medical Center PC | Internal Medicine | 4646 N Shallowford Rd Ste 555, Atlanta, GA 30338-6308 | 2017-07-17 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1922407162 | Umg Gastroenterology LLC | Internal Medicine | 820 Saint Sebastian Way Ste 2f, Augusta, GA 30901-2636 | 2014-08-13 |
| 1841618881 | Leah G Katta | Internal Medicine | 3400 Old Milton Pkwy Ste 380, Alpharetta, GA 30005-3707 | 2014-04-05 |
| 1306276324 | Candler Gastroenterology | Internal Medicine | 380b Cedar St, Metter, GA 30439-4042 | 2013-11-13 |
| 1215377247 | Deepanshu Jain | Internal Medicine | 8855 Hospital Dr Ste 101, Douglasville, GA 30134-2256 | 2013-07-05 |
| 1114260833 | Shahzad Ahmed | Internal Medicine | 1301 Sigman Rd Ne Ste 170, Conyers, GA 30012-3923 | 2013-04-01 |
| 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.