Active NPI
Sadrudin J Sarangi, MD.,PC
- Rheumatology Physician
- Riverdale, GA
National Provider Identifier
1053464255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 018546
- Legal business name
- SADRUDIN J SARANGI, MD.,PC
- Practice address
- 150 Medical Way
Suite B 1
Riverdale, GA 30274-2533 - Phone
- (770) 991-1600
- Fax
- (770) 991-1616
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sadrudin J Sarangi, M D
- Title
- President
- Phone
- (770) 991-1600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 018546 | GA | Primary |
Addresses
Primary practice location
150 Medical Way
Suite B 1
Riverdale, GA 30274-2533
Mailing address
150 Medical Way
Suite B 1
Riverdale, GA 30274-2533
Phone (770) 991-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000136969B | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Stockbridge, GA
- NPI 1912990011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219795200000",
"number": "1053464255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MEDICAL WAY",
"address_2": "SUITE B 1",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742533",
"telephone_number": "770-991-1600",
"fax_number": "770-991-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MEDICAL WAY",
"address_2": "SUITE B 1",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742533",
"telephone_number": "770-991-1600",
"fax_number": "770-991-1616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SADRUDIN J SARANGI, MD.,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2008-08-27",
"status": "A",
"authorized_official_last_name": "SARANGI",
"authorized_official_first_name": "SADRUDIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-991-1600",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "GA",
"license": "018546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000136969B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.