Individual
SANDEEP ANAND PADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
(706) 721-9286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301098374
MI
207RN0300X
Nephrology Physician
Primary
77751
GA
Other
Enumeration date
07/06/2011
Last updated
05/06/2019
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