Healthcare Provider Details

I. General information

NPI: 1477447225
Provider Name (Legal Business Name): SANATIVE HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1952 N WILLIAMSON BLVD
DAYTONA BEACH FL
32117-5261
US

IV. Provider business mailing address

8000 AVALON BLVD STE 100
ALPHARETTA GA
30009-2469
US

V. Phone/Fax

Practice location:
  • Phone: 903-342-8251
  • Fax: 802-735-0001
Mailing address:
  • Phone: 973-536-2577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SASIKUMAR KATAMREDDY
Title or Position: OWNER
Credential: MD
Phone: 914-414-2575