Raja Ram (NPI# 1144279027, PAC ID# 3678743408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1144279027 |
| PAC ID by PECOS | 3678743408 |
| Professional Enrollment ID | I20110902000228 |
| Full Name | Raja Ram |
| Organization Legal Name | GWINNETT CLINIC,LTD |
| Address |
2327 Hwy 29 Dacula GA 30019-2205 |
| Phone Number | 7709620054 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9436061801 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110087 | GWINNETT MEDICAL CENTER |
| 110192 | EASTSIDE MEDICAL CENTER |
| 110046 | CLEARVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2327 Hwy 29, Dacula, GA 30019-2205 | 7709620054 | GWINNETT CLINIC,LTD |
| 1289 Scenic Hwy, Lawrenceville, GA 30045-6358 | 7709729000 | GWINNETT CLINIC,LTD |
| 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 | 7709953300 | GWINNETT CLINIC,LTD |
| 455 Beaver Ruin Rd Nw, Lilburn, GA 30047-3413 | 7709237778 | GWINNETT CLINIC,LTD |
| 1390 W Spring St, Monroe, GA 30655-1759 | 7702666191 | GWINNETT CLINIC,LTD |
| 5595 Peachtree Pkwy, Norcross, GA 30092-2551 | 7702428001 | GWINNETT CLINIC,LTD |
| 2764 W Main St, Snellville, GA 30078-5708 | 7709783388 | GWINNETT CLINIC,LTD |
| Organization Legal Name | GWINNETT CLINIC,LTD |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Jayendrakumar Shah | Internal Medicine | Gwinnett Clinic,ltd | 2650 Lawrenceville Suwanee Rd, Suite B, Suwanee, GA 30024-2535 |
| Anthony Pothoulakis | Cardiovascular Disease (cardiology) | Gwinnett Clinic,ltd | 1289 Scenic Hwy, Lawrenceville, GA 30045-6358 |
| Asha Jayendrakumar Shah | Internal Medicine | Gwinnett Clinic,ltd | 4870 Lawrenceville Hwy, Tucker, GA 30084-2952 |
| Gabriel Nguena | Internal Medicine | Gwinnett Clinic,ltd | 5595 Peachtree Pkwy, Norcross, GA 30092-2551 |
| Ned B Armstrong | Orthopedic Surgery | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Min-jie Tan | Internal Medicine | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Nishith H Oza | Physical Therapy | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Jessica A Etzkorn | Nurse Practitioner | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Ashlyn Ciara Clay | Nurse Practitioner | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Richard Bernard Goodjoin | Internal Medicine | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Street Address |
2327 HWY 29 |
| City | DACULA |
| State | GA |
| Zip | 30019-2205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hong Wang | Family Medicine | Gwinnett Clinic,ltd | 2327 Hwy 29, Dacula, GA 30019-2205 |
| Angela Dawn Meeks | Nurse Practitioner | Gwinnett Clinic,ltd | 2327 Hwy 29, Dacula, GA 30019-2205 |
| Mailupillai Kumareswaran | Internal Medicine | Gwinnett Clinic,ltd | 2327 Hwy 29, Dacula, GA 30019-2205 |
| Myra A Bowie | Nurse Practitioner | Gwinnett Clinic,ltd | 2327 Hwy 29, Dacula, GA 30019-2205 |
| Meena J Shah | Family Medicine | Gwinnett Clinic,ltd | 2327 Hwy 29, Dacula, GA 30019-2205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna L Richardson | Nurse Practitioner | Atlanta Allergy and Asthma, Pa | 2089 Teron Trace, Suite 250, Dacula, GA 30019 |
| Cheryl M Hughes | Clinical Social Worker | 3617 Braselton Hwy, Suite 104, Dacula, GA 30019 | |
| Shirley A Boone-sanford | Psychologist, Clinical | 2078 Teron Trace, Suite 250, Dacula, GA 30019 | |
| Bhairavi Dholakia | Ophthalmology | North Georgia Eye Clinic Inc | 2089 Teron Trace, Suite 160, Dacula, GA 30019 |
| Yadira Nmi Cardona Rohena | Maxillofacial Surgery | 2089 Teron Trace, Suite 215, Dacula, GA 30019 | |
| Lorraine Laura Laplace | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Aishah Boodram | Clinical Social Worker | 3581 Braselton Hwy, Dacula, GA 30019-1027 | |
| Russell Glassman | Chiropractic | Hamilton Mill Family Chiropractic | 3509 Braselton Hwy, Dacula, GA 30019-1027 |
| Elvira Jasarevic | Family Medicine | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Jay H Joseph | Cardiovascular Disease (cardiology) | Heart Center LLC | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Find all physicians in zip 30019 | |||
| City | DACULA |
| Zip Code | 30019 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DACULA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Raja Ram.
| 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.