Dr. Vivek Sunny Sambhara
Internist Pulmonary Disease Critical Care Medicine
1240 Jesse Jewell Pkwy Se Ste 500
Gainesville
, Georgia 30501-3861
Dr. Vivek Sunny Sambhara
Internist Pulmonary Disease Critical Care Medicine
1240 Jesse Jewell Pkwy Se Ste 500
Gainesville
, Georgia 30501-3861
(770) 297-5023
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About
Features
Specialties
- Internist
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Vivek Sunny Sambhara
- 1240 Jesse Jewell Pkwy Se Ste 500
- Gainesville, GA
- Zip : 30501-3861
- Fax : (770) 297-5023
- Phone : (770) 536-9864
Second Address
- Dr. Vivek Sunny Sambhara
- 1240 Jesse Jewell Pkwy Se Ste 500
- Gainesville, GA
- Zip : 30501-3861
- Fax : (770) 297-5023
- Phone : (770) 536-9864
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 36045 | AL |
| N | 111NI0900X | Internist | 36045 | AL |
| N | 207RC0200X | Critical Care Medicine | 36045 | AL |
| Y | 207RP1001X | Pulmonary Disease | 36045 | AL |
National Provider Identifier
| NPI | 1093005852 |
|---|---|
| Provider Name | Dr. Vivek Sunny Sambhara |
| First Address | Gainesville, GA 30501-3861 |
| Second Address | Gainesville, GA 30501-3861 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2011 |
| Last Update Date | 19/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102I299613 | MEDICARE (01) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.