Individual
DR. VIVEK SUNNY SAMBHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 JESSE JEWELL PKWY SE STE 500, GAINESVILLE, GA 30501-3861
(770) 536-9864
(770) 297-5023
Mailing address
1240 JESSE JEWELL PKWY SE STE 500, GAINESVILLE, GA 30501-3861
(770) 536-9864
(770) 297-5023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36045
AL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
36045
AL
207RP1001X
Pulmonary Disease Physician
Primary
36045
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I299613
MEDICARE
AL
Enumeration date
04/13/2011
Last updated
01/06/2025
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