Provider Demographics
NPI:1154427342
Name:SATALURI, SESHA K (MD)
Entity type:Individual
Prefix:DR
First Name:SESHA
Middle Name:K
Last Name:SATALURI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11555 MEDLOCK BRIDGE RD STE 190
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1541
Mailing Address - Country:US
Mailing Address - Phone:707-096-9227
Mailing Address - Fax:770-709-6922
Practice Address - Street 1:1078 LUMPKIN CAMPGROUND RD S STE 100
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-0988
Practice Address - Country:US
Practice Address - Phone:770-709-6922
Practice Address - Fax:770-709-6910
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2024-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA98240207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA98240OtherGA MEDICAL LICENSE
LA1099597Medicaid
LA1154427342OtherNPI NUMBER
LA1154427342OtherNPI NUMBER
LA1099597Medicaid