Individual
DR. SARAJU C DALSANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 FAIR RD, SUITE 700, STATESBORO, GA 30458-1698
(912) 681-8488
(912) 681-4337
Mailing address
1601 FAIR RD, SUITE 700, STATESBORO, GA 30458-1698
(912) 681-8488
(912) 681-4337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045196
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00214801
PALMETTO GBA-RR MEDICARE
GA
Enumeration date
11/06/2007
Last updated
11/06/2007
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