SUNNY DILIPKUMAR DATTANI (NPI# 1356804041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356804041 |
| Entity Type | Individual |
| Full Name | SUNNY DILIPKUMAR DATTANI |
| Credential | DO |
| Practice Address |
764 Pine St Macon GA 31201-2107 |
| Mailing Address |
3003 W 5th St Lumberton NC 28358-6913 |
| Practice Telephone | 4783015824 |
| Mailing Telephone | 9197445413 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11260 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3003 W 5th St, Lumberton, NC 283586913 | 9197445413 | |
| 790 1st St, Macon, GA 312016874 | 4783015824 |
| Street Address |
764 PINE ST |
| City | MACON |
| State | GA |
| Zip Code | 31201-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629045554 | Gregory Eilers | Family Medicine | 764 Pine St, Macon, GA 31201-2107 | 2006-02-28 |
| 1255996088 | Monae Marie Fennell | Obstetrics & Gynecology | 764 Pine St, Macon, GA 31201-2107 | 2019-05-07 |
| 1346804960 | Sara Beth Leitheiser | Obstetrics & Gynecology | 764 Pine St, Macon, GA 31201-2107 | 2019-04-29 |
| 1336602770 | Gregory Paul Morgan | Internal Medicine | 764 Pine St, Macon, GA 31201 | 2019-04-11 |
| 1962964320 | Juliet Emily Nonnemacher | Pediatrics | 764 Pine St, Macon, GA 31201-2107 | 2019-04-04 |
| 1447712005 | Mariana Ellington | Obstetrics & Gynecology | 764 Pine St, Macon, GA 31201-2107 | 2019-04-03 |
| 1811459555 | Joa Alexis Allen | Obstetrics & Gynecology | 764 Pine St, Macon, GA 31201-2107 | 2019-04-02 |
| 1780146308 | Nafis Islam | Internal Medicine | 764 Pine St, Macon, GA 31201 | 2019-04-02 |
| 1942762802 | Victoria Walker | Internal Medicine | 764 Pine St, Macon, GA 31201-2107 | 2019-04-01 |
| 1619441987 | Patrick Sean Kinsella | Internal Medicine | 764 Pine St, Macon, GA 31201-2107 | 2019-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174011811 | Frances Barnes Grant | Internal Medicine | 1842 Waverland Cir, Macon, GA 31211-1116 | 2018-04-27 |
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1598295719 | Lori Starr | Internal Medicine | 446 Poplar St Ste B, Macon, GA 31201-3336 | 2017-06-20 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1720456163 | Wellness Connect | Internal Medicine | 1209 Marlowe Dr, Macon, GA 31210-3107 | 2015-09-02 |
| 1396157657 | Almatmed H Mohamed Abdelsalam | Internal Medicine | 657 Hemlock St Ste 220, Macon, GA 31201-8311 | 2014-05-21 |
| 1114369865 | Douglas Farman Md LLC | Internal Medicine | 310 Hospital Dr Ste 320, Macon, GA 31217-8027 | 2013-07-23 |
| 1528328796 | Ahmad Azmi Kabbani | Internal Medicine | 640 Martin Luther King Jr Blvd Ste 200, Macon, GA 31201-3297 | 2012-05-22 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1649414657 | Lillette A Intaphan Md LLC | Internal Medicine | 432 Poplar St, Suite B, Macon, GA 31201-3336 | 2009-04-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.