Provider Demographics
NPI:1477758977
Name:SARMA, AKKARAJU RAKESH (MD)
Entity Type:Individual
Prefix:
First Name:AKKARAJU
Middle Name:RAKESH
Last Name:SARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 CARPENTER DR STE 500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4946
Mailing Address - Country:US
Mailing Address - Phone:404-474-1264
Mailing Address - Fax:404-474-1266
Practice Address - Street 1:755 MOUNT VERNON HWY NE STE 110
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4276
Practice Address - Country:US
Practice Address - Phone:404-419-4700
Practice Address - Fax:404-474-1266
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA068609207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ116698Medicare PIN
AZ23784801Medicaid
AZP00432171OtherRAIL ROAD MEDICARE