Sanjeev S Tendolkar MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

63066 Issued in GA

Legal business name

SANJEEV S TENDOLKAR MD LLC

Practice address

4589 Lawrenceville Rd
Loganville, GA 30052-7320

Phone

(770) 466-8672

NPI assigned

Jul 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sanjeev TendolkarNPI 1326258583

Title

President

Phone

(770) 598-3397

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sanjeev S Tendolkar, M.D.

  • Family Medicine Physician
  • Loganville, GA
  • NPI 1326258583
  Medicare reassignment NPD Authorized official
• Bhavani Merugu, MD

  • Family Medicine Physician
  • Loganville, GA
  • NPI 1295212439
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1174878227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4589 LAWRENCEVILLE RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4589 LAWRENCEVILLE RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527320",
            "telephone_number": "770-466-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJEEV S TENDOLKAR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "TENDOLKAR",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-598-3397"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Dental Group of Georgia, LLC (Sage Dental of Loganville)
• Denise Nabouro Samassa
• Derica N. Sams, M.D.
• Samuel S Kwon - Loganville DMD PC
• Kathryn Cook Sanders, IBCLC, CLC
• Aliu O Sanni, MD
• Lady Sarfo, PHARMD
• Tristan S Sayre
• Mendi Michelle Schubert, PT
• Amanda Schultze, LPC, CAMS-II

• Family Medicine Physician in Loganville, GA
• Providers in Loganville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.