Manohar N Nallathambi, M.D., F.A.C.S.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

029356 Issued in GA

Practice address

1040 Eagles Landing Pkwy
Suite100
Stockbridge, GA 30281-9072

Phone

(770) 474-7287

Fax

(770) 389-3713

NPI assigned

Oct 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1386632941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 EAGLES LANDING PKWY",
            "address_2": "SUITE100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819072",
            "telephone_number": "770-474-7287",
            "fax_number": "770-389-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EAGLES LANDING PKWY",
            "address_2": "SUITE100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819072",
            "telephone_number": "770-474-7287",
            "fax_number": "770-389-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLATHAMBI",
        "first_name": "MANOHAR",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "029356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00341998C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• My Fathers Estate, LLC
• Brian S Myers, M.D., F.A.C.S.
• Bruce D Myers, D.C.
• Bhavana Nagareddy, MD
• Subramanyam K Naidu, M.D.
• Deepa Nankani, M.D
• Natasha N Nanpatee, D.O.
• Hyder A Naqvi
• National Healthcare Center LLC
• National Premier Laboratories Inc

• Surgery Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.