Individual
SISIR AKKINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE BLDG A3, ATLANTA, GA 30322-1013
(404) 778-7823
Mailing address
1365 CLIFTON RD NE BLDG A3, ATLANTA, GA 30322-1013
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
87861
GA
207RP1001X
Pulmonary Disease Physician
Primary
87861
GA
207RP1001X
Pulmonary Disease Physician
ME142615
FL
390200000X
Student in an Organized Health Care Education/Training Program
21405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114342700
—
FL
01
—
7LXZ5
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/22/2015
Last updated
07/08/2022
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