Healthcare Provider Details

I. General information

NPI: 1134333537
Provider Name (Legal Business Name): SANATH ALLAMPATI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2518 JIMMY LEE SMITH PKWY
HIRAM GA
30141-2068
US

IV. Provider business mailing address

1384 BOBBY LN
WESTLAKE OH
44145-1985
US

V. Phone/Fax

Practice location:
  • Phone: 470-644-8027
  • Fax: 470-644-8064
Mailing address:
  • Phone: 440-542-5023
  • Fax: 440-542-5029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number82433
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: