Individual
MALLIKARJUN SAMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-8079
Mailing address
11085 CALLAWAY DR, JOHNS CREEK, GA 30097-2622
(770) 800-3372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1093101511
LA
207Q00000X
Family Medicine Physician
Primary
79910
GA
208M00000X
Hospitalist Physician
79910
GA
Other
Enumeration date
04/10/2015
Last updated
11/25/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us