Individual
ASHA NANDINI SASIMANGALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4444 AUSTELL RD, AUSTELL, GA 30106-1844
(678) 460-2700
(877) 784-4013
Mailing address
4444 AUSTELL RD STE 100, AUSTELL, GA 30106-1844
(678) 460-2700
(877) 784-4013
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
51171
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2008
Last updated
01/14/2026
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