Individual
HARITHA SAJJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 291-0291
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 703-5375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80090
GA
390200000X
Student in an Organized Health Care Education/Training Program
BP10054360
TX
Other
Enumeration date
06/25/2015
Last updated
06/20/2018
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