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NPI Code Detail

MEDICARE: SAI HARSHITHA MUPPARAJU

MEDICARE: SAI HARSHITHA MUPPARAJU
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
1207P00000XEmergency Medicine Physician111749GA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1386375590
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAI HARSHITHA MUPPARAJU
Provider Business Mailing Address
First Line : 100 WOODRUFF CIRCLE ATLANTA SUITE 327
Second Line :
City : ATLANTA
State : GA
Zip : 30322-0001
Country : US
Telephone Number : 404-727-5658
Fax Number :
Provider Business Practice Location Address
First Line : 49 JESSE HILL JR DR SE
Second Line :
City : ATLANTA
State : GA
Zip : 30303-3049
Country : US
Telephone Number : 404-727-6123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2022
Last Update Date : 06/08/2026

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Directions to “ SAI HARSHITHA MUPPARAJU ” Practice Location

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