Organization
SAGE HEALTH SENIOR CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARVIND CHANDILYA CHAKRAVARTHY MD (PHYSICIAN)
(810) 814-0963
Entity
Organization
Contact information
Practice address
1635 OLD 41 HWY NW STE 112-216, KENNESAW, GA 30152-4480
(678) 626-1490
(404) 806-6668
Mailing address
1635 OLD 41 HWY NW STE 112-216, KENNESAW, GA 30152-4480
(678) 626-1490
(404) 806-6668
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
10/01/2021
Last updated
02/23/2022
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