Athni, Sudhir S
Athni, Sudhir S is an sole proprietor health care provider with primary practice located at 175 Water Tower Ct , Macon GA 31210-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Athni, Sudhir S can be contacted via phone (478) 471-6217.Contact Information
Primary practice address
175 Water Tower Ct
Macon GA 31210-4874
Phone: (478) 471-6217
Fax: (478) 471-8663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 040303 | Georgia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | H9273 | Texas |
Profile Details
| NPI number | 1730294125 |
|---|---|
| LBN Legal business name | Athni, Sudhir S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1730294125 | NPPES |
| Georgia | MEDICAID | 00679291A |
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