Sudhakar Jonnalagadda
Gastroenterologist
300 Shirley Ave
Douglas
, Georgia 31533-2332
Sudhakar Jonnalagadda
Gastroenterologist
300 Shirley Ave
Douglas
, Georgia 31533-2332
(912) 384-4343
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Sudhakar Jonnalagadda
- 300 Shirley Ave
- Douglas, GA
- Zip : 31533-2332
- Fax : (912) 384-4343
- Phone : (912) 384-7275
Second Address
- Sudhakar Jonnalagadda
- 300 Shirley Ave
- Douglas, GA
- Zip : 31533-2332
- Fax : (912) 384-4343
- Phone : (912) 384-7275
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 041589 | GA |
National Provider Identifier
| NPI | 1043203011 |
|---|---|
| Provider Name | Sudhakar Jonnalagadda |
| First Address | Douglas, GA 31533-2332 |
| Second Address | Douglas, GA 31533-2332 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2005 |
| Last Update Date | 21/06/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000831784A | (05) | GA |
| G20313 | (02) | GA |
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.