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NPI Code Detail

MEDICARE: USHA SATHIAN MD

MEDICARE: USHA SATHIAN MD
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician37358GA

General Provider Information

NPI Number : 1548219603
Entity Type Code : Individual
Provider Name (Legal Business Name) : USHA SATHIAN MD
Provider Business Mailing Address
First Line : 1575 NORTHEAST EXPY NE
Second Line :
City : BROOKHAVEN
State : GA
Zip : 30329-2401
Country : US
Telephone Number : 404-785-7117
Fax Number : 404-785-7992
Provider Business Practice Location Address
First Line : 1575 NORTHEAST EXPY NE
Second Line :
City : BROOKHAVEN
State : GA
Zip : 30329-2401
Country : US
Telephone Number : 404-785-7117
Fax Number : 404-785-7992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 06/06/2022

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