Individual
MR. SANJAY MANOHAR ATHAVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 DAWSON COMMONS CIRCLE, SUITE 140, DAWSONVILLE, GA 30534
(770) 217-6224
(706) 216-4830
Mailing address
100 DAWSON COMMONS CIRCLE, SUITE 140, DAWSONVILLE, GA 30534
(770) 217-6224
(706) 216-4830
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
69172
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003131877I
—
GA
05
—
003131877J
—
GA
05
—
003131877M
—
GA
Enumeration date
06/11/2007
Last updated
06/17/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us