Provider Demographics
NPI:1396188124
Name:NATESAN, SINTHUMATHI (MD, MAPP)
Entity Type:Individual
Prefix:
First Name:SINTHUMATHI
Middle Name:
Last Name:NATESAN
Suffix:
Gender:F
Credentials:MD, MAPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8265 SAINT MARLO FAIRWAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097
Mailing Address - Country:US
Mailing Address - Phone:203-901-9004
Mailing Address - Fax:
Practice Address - Street 1:8265 SAINT MARLO FAIRWAY DRIVE
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097
Practice Address - Country:US
Practice Address - Phone:203-901-9004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program