Kalyanam, Sunitha
Kalyanam, Sunitha is an individual health care provider with primary practice located at 663 Lanier Park Dr , Gainesville GA 30501-2059. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Kalyanam, Sunitha can be contacted via phone (678) 450-0202.Contact Information
Primary practice address
663 Lanier Park Dr
Gainesville GA 30501-2059
Phone: (678) 450-0202
Fax: (678) 928-6698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 83313 | Georgia |
Profile Details
| NPI number | 1639388903 |
|---|---|
| LBN Legal business name | Kalyanam, Sunitha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jun 25th, 2019 - about 5 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 | 1639388903 | NPPES |
| Georgia | Other | 83313 | GEORGIA COMPOSITE MEDICAL BOARD |
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