Provider Demographics
NPI:1477447225
Name:SANATIVE HEALTH PARTNERS LLC
Entity type:Organization
Organization Name:SANATIVE HEALTH PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SASIKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KATAMREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-536-2577
Mailing Address - Street 1:8000 AVALON BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-2469
Mailing Address - Country:US
Mailing Address - Phone:973-536-2577
Mailing Address - Fax:
Practice Address - Street 1:1952 N WILLIAMSON BLVD
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-5261
Practice Address - Country:US
Practice Address - Phone:973-536-2577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty