Gangasani, Sreeni R.

Gangasani, Sreeni R. is an individual health care provider with primary practice located at 755 Walther Rd , Lawrenceville GA 30046-8725. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Gangasani, Sreeni R. can be contacted via phone (770) 962-0399.

Contact Information

Primary practice address
755 Walther Rd Lawrenceville GA 30046-8725
Phone: (770) 962-0399
Fax: (770) 995-0533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 48777 Georgia
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 48777 Georgia
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 48777 Georgia

Profile Details

NPI number 1215923701
LBN Legal business name Gangasani, Sreeni R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 16th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215923701 NPPES
Georgia MEDICAID 00866412E

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