Dr SANJAY ATHAVALE is a male medical professional, specializing in Otolaryngology. He graduated in 2007.
GEORGIA SURGICAL PROFESSIONAL SERVICES LLC
550 PEACHTREE ST NE
SUITE 1640
ATLANTA
GA
303082255
Tel: 4046530830
| Npi | 1942404421 |
| Pac Id | 3678728912 |
| Professional Enrollment Id | I20130312000554 |
| Last Name | ATHAVALE |
| First Name | SANJAY |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | GEORGIA SURGICAL PROFESSIONAL SERVICES LLC |
| Group Practice Pac Id | 3375774011 |
| Number Of Group Practice Members | 33 |
| Line 1 Street Address | 550 PEACHTREE ST NE |
| Line 2 Street Address | SUITE 1640 |
| Marker Of Address Line 2 Suppression | |
| City | ATLANTA |
| State | GA |
| Zip Code | 303082255 |
| Phone Number | 4046530830 |
| Hospital Affiliation Ccn 1 | 110005 |
| Hospital Affiliation Lbn 1 | NORTHSIDE HOSPITAL FORSYTH |
| Hospital Affiliation Ccn 2 | 110161 |
| Hospital Affiliation Lbn 2 | NORTHSIDE HOSPITAL |
| Hospital Affiliation Ccn 3 | 110198 |
| Hospital Affiliation Lbn 3 | WELLSTAR NORTH FULTON HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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