Individual
SARANDEEP K. MAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DO
Contact information
Practice address
5440 HILLANDALE DR, KAISER PERMANENTE PANOLA MEDICAL CENTER, LITHONIA, GA 30058-4865
(770) 322-2777
(770) 888-0763
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 504-5678
(770) 888-0763
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
058617
GA
207P00000X
Emergency Medicine Physician
DO-860
AL
207Q00000X
Family Medicine Physician
Primary
058617
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935858
—
AL
05
—
009936719
—
AL
05
—
009936721
—
AL
05
—
009936722
—
AL
01
—
51533396
BLUE CROSS
AL
01
—
51533397
BLUE CROSS
AL
01
—
51533398
BLUE CROSS
AL
01
—
51533400
BLUE CROSS
AL
Enumeration date
07/03/2006
Last updated
01/13/2022
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