Adigopula, Santhi
Adigopula, Santhi is an individual health care provider with primary practice located at 200 S Enota Dr Ne Ste 100 , Gainesville GA 30501-3466. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Adigopula, Santhi can be contacted via phone (770) 534-2020.Contact Information
Primary practice address
200 S Enota Dr Ne Ste 100
Gainesville GA 30501-3466
Phone: (770) 534-2020
Fax: (770) 534-8025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101265209 | Virginia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 068470 | Georgia |
Profile Details
| NPI number | 1740431295 |
|---|---|
| LBN Legal business name | Adigopula, Santhi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2008 |
| Last updated | Jul 19th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740431295 | NPPES |
| Georgia | Other | 01720105 | AMERIGROUP |
| Georgia | Other | P01142578 | AMERIGROUP |
| Georgia | Other | 722915 | AMERIGROUP |
| Georgia | MEDICAID | 003128905A | AMERIGROUP |
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