Provider Demographics
NPI:1083692651
Name:SANAL, SALAHATTIN M (MD)
Entity Type:Individual
Prefix:DR
First Name:SALAHATTIN
Middle Name:M
Last Name:SANAL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1835 SAVOY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1072
Mailing Address - Country:US
Mailing Address - Phone:770-496-9400
Mailing Address - Fax:770-946-9495
Practice Address - Street 1:101 RIVERSTONE VISTA
Practice Address - Street 2:SUITE #102
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-6648
Practice Address - Country:US
Practice Address - Phone:706-258-4140
Practice Address - Fax:706-258-4141
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2007-12-14
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Provider Licenses
StateLicense IDTaxonomies
GA022633207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA83BBBVTMedicare PIN
GAD30702Medicare UPIN