Individual provider Active NPI

Harresh Bhagwandas Dulamal, M.D.

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1699773457
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
038474 Issued in GA
Practice address
9 Chatham Ctr S
Suite C
Savannah, GA 31405-7456
Phone
(912) 527-7211
Fax
(912) 527-7222
NPI assigned
Jul 14, 2005
Last updated
Jun 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 038474 GA Primary

Addresses

Primary practice location

9 Chatham Ctr S
Suite C
Savannah, GA 31405-7456

Mailing address

9 Chatham Ctr S
Suite C
Savannah, GA 31405-7456
Phone (912) 527-7211

Other identifiers 4

IdentifierTypeStateIssuer
681676OtherGABLUECROSS BLUESHIELD
000612048CMedicaidGA
G38474MedicaidSC
080088386OtherGARR MEDICARE

Other names 1

  • Dr. Harresh Bhagwandas Dulamal Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000901 GA Practitioner - Family Practice 8729128533 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince May 1, 2019 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1326 Eisenhower Dr
#1
Savannah, GA 31406
Phone (912) 691-4100

9 Chatham Ctr S
Ste C
Savannah, GA 31405
Phone (912) 527-7211

Interoperability endpoints

  • Direct secure messaging: harreshdulamal@scmgllc.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1699773457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHATHAM CTR S",
            "address_2": "SUITE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314057456",
            "telephone_number": "912-527-7211",
            "fax_number": "912-527-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CHATHAM CTR S",
            "address_2": "SUITE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314057456",
            "telephone_number": "912-527-7211",
            "fax_number": "912-527-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULAMAL",
        "first_name": "HARRESH",
        "middle_name": "BHAGWANDAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "038474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "681676",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000612048C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G38474",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080088386",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARRESH",
            "last_name": "DULAMAL",
            "middle_name": "BHAGWANDAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.