Healthcare Provider Details

I. General information

NPI: 1750844262
Provider Name (Legal Business Name): HURSH SARMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date: 11/12/2019
Reactivation Date: 12/06/2019

III. Provider practice location address

2121 WARM SPRINGS RD
COLUMBUS GA
31904-7955
US

IV. Provider business mailing address

2121 WARM SPRINGS RD
COLUMBUS GA
31904-7955
US

V. Phone/Fax

Practice location:
  • Phone: 706-243-4500
  • Fax: 706-243-4503
Mailing address:
  • Phone: 706-243-4500
  • Fax: 706-243-4503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number111398
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: