SURESH ENJETI (NPI# 1699741991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699741991 |
| Entity Type | Individual |
| Full Name | SURESH ENJETI |
| Credential | MD |
| Practice Address |
6325 Hospital Pkwy Duluth GA 30097 |
| Mailing Address |
6325 Hospital Pkwy Duluth GA 30097-5775 |
| Practice Telephone | 4047783261 |
| Practice Fax Number | 4047785660 |
| Mailing Telephone | 4047783261 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2018-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
026108 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
6325 HOSPITAL PKWY |
| City | DULUTH |
| State | GA |
| Zip Code | 30097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700417714 | Lisa Nicole Langlois | Anesthesiologist Assistant | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2020-01-29 |
| 1487019592 | Emily Havens | Nurse Anesthetist, Certified Registered | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2015-12-17 |
| 1205217759 | Stuart Anthony Lehn | Anesthesiology | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2015-06-10 |
| 1861812448 | Emory Johns Creek Hospital | Clinical Medical Laboratory | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2014-04-22 |
| 1083054845 | Michelle R Kress | Radiology | 6325 Hospital Pkwy, Duluth, GA 30097 | 2013-06-26 |
| 1790074292 | Brandon P Miller | Nurse Anesthetist, Certified Registered | 6325 Hospital Pkwy, Duluth, GA 30097 | 2011-04-05 |
| 1700034501 | Raymond Higginbotham | Radiology | 6325 Hospital Pkwy, Emory Johns Creek Hospital - Dept. of Radiology, Duluth, GA 30097-5775 | 2008-09-04 |
| 1659557973 | Sonthonax Gay | Physician Assistant | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2008-01-16 |
| 1467650945 | Andaleeb Ali | Internal Medicine | 6325 Hospital Pkwy, Duluth, GA 30097 | 2007-07-06 |
| 1962444612 | Deepalakshmi Nagarajan | Internal Medicine | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1578705125 | Brian Joseph Aebly | Internal Medicine | 920 E 1st St, Ste 201, Duluth, MN 55805-2201 | 2009-03-28 |
| 1629181706 | Jeray James Johnson | Internal Medicine | 920 E 1st St, P201, Duluth, MN 55805-2201 | 2006-08-16 |
| 1710919378 | Peter Karl Franklin | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-06 |
| 1760410112 | Terrence Charles Clark | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-06-28 |
| 1992759690 | St. Luke's Hospital of Duluth | Internal Medicine | 920 E 1st St, Suite 201, Duluth, MN 55805-2215 | 2006-05-19 |
| 1003867573 | Joseph J Martinelli | Internal Medicine | 920 E 1st St, Ste P201, Duluth, MN 55805-2201 | 2006-05-12 |
| 1710936125 | Vance David Bachelder | Internal Medicine | 920 E 1st St, Suite L201, Duluth, MN 55805-2201 | 2006-05-10 |
| 1740230903 | Wayne Alan Elmer | Internal Medicine | 920 E 1st St, Suite 201, Duluth, MN 55805-2201 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337592 | Stefan Vincent Goldberg | Internal Medicine | 3239 Bolero Dr, Atlanta, GA 30341-5705 | 2020-08-18 |
| 1366064164 | Southeast Lung & Critical Care Specialists | Internal Medicine | 1745 City Circle Rd, Baxley, GA 31513-7059 | 2020-05-14 |
| 1205474954 | Tift Regional Health System, Inc | Internal Medicine | 1499 Kennedy Road, Suite A, Tifton, GA 31794-4177 | 2019-12-12 |
| 1659845790 | Frank J Demarco Jr Md LLC | Internal Medicine | 4465 Nelson Brogdon Blvd, Buford, GA 30518-3487 | 2019-01-11 |
| 1063915338 | Trident Pulmonary and Critical Care PC | Internal Medicine | 483 Upper Riverdale Rd Sw Ste E, Riverdale, GA 30274-2579 | 2018-03-13 |
| 1194235853 | Covenant Medical Group LLC | Internal Medicine | 3605 Sandy Plains Rd Ste 240-235, Marietta, GA 30066-3068 | 2017-10-09 |
| 1235659814 | Southeast Lung & Criticial Care Specialists, PC | Internal Medicine | 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 | 2017-06-23 |
| 1619355427 | Southeast Lung & Critical Care Specialists, PC. | Internal Medicine | 400 Cedar St Ste 106, Candler County Hospital, Metter, GA 30439-3338 | 2015-05-13 |
| 1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
| 1407267511 | Akshay Bhatnagar | Internal Medicine | 2301 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2576 | 2014-05-12 |
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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.