SUDHA CHALLA (NPI# 1871756627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871756627 |
| Entity Type | Individual |
| Full Name | SUDHA CHALLA |
| Credential | MD |
| Practice Address |
4961 Buford Hwy 100 Chamblee GA 30341-3536 |
| Mailing Address |
4961 Buford Hwy 100 Chamblee GA 30341-3535 |
| Practice Telephone | 6063569322 |
| Mailing Telephone | 6063569322 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | IPI032 | KY | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
63641 | GA | Allopathic & Osteopathic Physicians |
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
30362 | AL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646727 | Sudha Challa | Radiology | 475 Seaview Ave, Radiology, Staten Island, NY 10305-3436 | 2005-08-15 |
| Street Address |
4961 BUFORD HWY 100 |
| City | CHAMBLEE |
| State | GA |
| Zip Code | 30341-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164533873 | Rachele Ulysse | Physical Therapist | 4961 Buford Hwy, Suite 201, Chamblee, GA 30341-3535 | 2006-08-31 |
| 1396294310 | Rachel Hufnagel | Speech-Language Pathologist | 4961 Buford Hwy, Suite 201, Chamblee, GA 30341-3535 | 2016-10-03 |
| 1780037325 | Denique Reid | Speech-Language Pathologist | 4961 Buford Hwy, Suite 201, Chamblee, GA 30341-3535 | 2016-07-19 |
| 1588016323 | Fallon Johnson | Speech-Language Pathologist | 4961 Buford Hwy, Suite 201, Chamblee, GA 30341-3535 | 2016-07-05 |
| 1518315423 | Elizabeth Wilson | Speech-Language Pathologist | 4961 Buford Hwy, Suite 201, Chamblee, GA 30341-3535 | 2016-06-01 |
| 1528437365 | Abby Maureen Abolt | Occupational Therapist | 4961 Buford Hwy, Suite 201, Chamblee, GA 30341-3535 | 2015-09-23 |
| 1487038675 | Atlanta Pediatric Therapy | Clinic/Center | 4961 Buford Hwy, Chamblee, GA 30341-3535 | 2015-07-17 |
| 1639562986 | Sarah Blackwell | Speech-Language Pathologist | 4961 Buford Hwy, Suite 201, Chamblee, GA 30341-3535 | 2015-03-11 |
| 1891123360 | Amy Alicia Graham | Speech-Language Pathologist | 4961 Buford Hwy, Suite 201, Chamblee, GA 30341-3535 | 2013-10-21 |
| 1366723603 | Ivory Gleaton | Speech-Language Pathologist | 4961 Buford Hwy, Suite 201, Chamblee, GA 30341-3535 | 2011-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207344 | Rabun Marie Robertson | Occupational Therapist | 2320 Perimeter Park Drive, Atlanta, GA 30341 | 2018-03-01 |
| 1568986313 | Charles Edge IIi | Nurse Practitioner | 4770 Buford Highway, Atlanta, GA 30341 | 2017-08-02 |
| 1366971277 | Park Ridge Healthcare and Physical Medicine LLC | Nurse Practitioner | 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 | 2017-06-06 |
| 1437502937 | Chara Mcgill | Counselor | 13207 Jefferson Circle N, Chamblee, GA 30341 | 2016-07-20 |
| 1982063913 | Stepping Stone of Atlanta | Community/Behavioral Health | 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2016-02-18 |
| 1013317577 | Marne Day | Counselor | 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2014-09-02 |
| 1013343680 | Keelan Walker | Speech-Language Pathologist | 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 | 2013-09-16 |
| 1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
| 1639415359 | Lawanda B Cooke | Health Educator | 5280 Peachtree Ind Blvd, Chamblee, GA 30341 | 2012-12-28 |
| 1457602773 | Arthur Macrae Wendel | Family Medicine | 4770 Buford Hwy Ms F60, Atlanta, GA 30341 | 2012-09-26 |
| Find all providers in zip 30341 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295366292 | B Mata LLC | Family Medicine | 1631 Atlanta Hwy, Gainesville, GA 30504-5942 | 2020-01-28 |
| 1558916056 | Newtown Park Medical Clinic and Geriatrics LLC | Family Medicine | 2880 Old Alabama Rd #300, Johns Creek, GA 30022-5033 | 2019-08-02 |
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1215471479 | Deana Perkins | Family Medicine | 756 Arrowhead Lake Rd, Thomaston, GA 30286-5004 | 2016-12-07 |
| 1255731741 | Jafar Tabatabai M.d. P.C. | Family Medicine | 7961 Highway 92 Ste 100, Woodstock, GA 30189-5209 | 2014-09-03 |
| 1457604381 | Senior Care Plus Limited Liability Company | Family Medicine | 990 Peachtree Industrial Blvd Number 4532, Suwanee, GA 30024-5249 | 2012-10-16 |
| 1053662296 | Community Primary Care of Georgia LLC | Family Medicine | 946 Veterans Pkwy, Barnesville, GA 30204-3771 | 2012-09-27 |
| 1669770954 | J&a Wood, LLC | Family Medicine | 2724 Grey Fox Ct, Haddock, GA 31033-6009 | 2011-03-10 |
| 1043442080 | Sam Peng Md PC | Family Medicine | 1622 Rivergreen Bnd Se, Atlanta, GA 30339-8546 | 2009-08-10 |
| Find all providers with the same taxonomy | ||||
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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.