Organization Active NPI

Sadrudin J Sarangi, M D, P C

  • Rheumatology Physician
  • Riverdale, GA
National Provider Identifier
1801942685
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
056221 Issued in GA
Legal business name
SADRUDIN J SARANGI, M D, P C
Practice address
150 Medical Way
Suite B - 1
Riverdale, GA 30274-2533
Phone
(770) 991-1600
Fax
(770) 991-1616
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sadrudin J Sarangi, M DNPI 1154467991
Title
President
Phone
(770) 991-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 056221 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

National Provider Directory

National Provider Directory

Locations

150 Medical Way
Ste B1
Riverdale, GA 30274
Phone (770) 991-1600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801942685",
    "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, M D, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "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": "056221",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2020; 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.