MEDICARE: SANATIVE HEALTH PARTNERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	363LF0000X	Family Nurse Practitioner
3	363LP2300X	Primary Care Nurse Practitioner
4	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1477447225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANATIVE HEALTH PARTNERS LLC

Provider Business Mailing Address
First Line	:	8000 AVALON BLVD STE 100
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30009-2469
Country	:	US
Telephone Number	:	973-536-2577
Fax Number	:

Provider Business Practice Location Address
First Line	:	1952 N WILLIAMSON BLVD
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5261
Country	:	US
Telephone Number	:	903-342-8251
Fax Number	:	802-735-0001

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SASIKUMAR KATAMREDDY
Credential	:	MD
Telephone Number	:	914-414-2575

Provider Enumeration Date	:	06/05/2025
Last Update Date	:	07/07/2025

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Directions to “SANATIVE HEALTH PARTNERS LLC ” Practice Location

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