Poddar, Satish B
Poddar, Satish B is an sole proprietor health care provider with primary practice located at 2878 Five Forks Trickum Rd Ste 2A, Lawrenceville GA 30044-5896. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Poddar, Satish B can be contacted via phone (678) 344-8700.Contact Information
Primary practice address
2878 Five Forks Trickum Rd Ste 2A
Lawrenceville GA 30044-5896
Phone: (678) 344-8700
Fax: (678) 344-8600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43264 | Georgia |
Profile Details
| NPI number | 1083603922 |
|---|---|
| LBN Legal business name | Poddar, Satish B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Feb 11th, 2019 - about 6 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 | 1083603922 | NPPES |
| Georgia | MEDICAID | 000735226B |
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