Individual
SATISH B PODDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2878 FIVE FORKS TRICKUM RD, STE 2A, LAWRENCEVILLE, GA 30044-5896
(678) 344-8700
(678) 344-8600
Mailing address
2878 FIVE FORKS TRICKUM RD, STE 2A, LAWRENCEVILLE, GA 30044-5896
(678) 344-8700
(678) 344-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
43264
GA
207R00000X
Internal Medicine Physician
Primary
43264
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000735226B
—
GA
Enumeration date
10/13/2005
Last updated
02/24/2026
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