Sachit Anandan

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Johns Creek, GA

NPI 1700680501 · NPPES record last updated Apr 2, 2025

Key facts

NPI
1700680501
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
5615 Oxborough Way
Johns Creek, GA 30005-2536
Phone
(678) 677-4599
NPI assigned
Apr 2, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250625000196 IL Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
7517479645

National Provider Directory

Medicare enrollment (NPD)
Yes

Interoperability endpoints

  • Direct secure messaging: sanandan188830@uihealth.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

5615 Oxborough Way
Johns Creek, GA 30005-2536

Mailing address

5615 Oxborough Way
Johns Creek, GA 30005-2536
Phone (678) 677-4599

Other providers in Johns Creek, GA

All providers in Johns Creek, GA · Student in an Organized Health Care Education/Training Program in Georgia

Sources for this page

Verify at the official NPI Registry.