Provider Demographics
NPI:1487633905
Name:STERLING, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:STERLING
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 1:101 W. PONCE DE LEON AVE. ANNEX BUILDING
Mailing Address - Street 2:EMORY HEALTHCARE SYSTEM CREDENTIALING
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030
Mailing Address - Country:US
Mailing Address - Phone:404-778-4889
Mailing Address - Fax:404-778-4819
Practice Address - Street 1:550 PEACHTREE STREET NE
Practice Address - Street 2:EMORY UNIVERSITY HOSPITAL MIDTOWN
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308
Practice Address - Country:US
Practice Address - Phone:404-686-7858
Practice Address - Fax:404-686-7841
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME012934207RC0200X
GA064472207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEB85403Medicare UPIN
MEMM3183Medicare ID - Type Unspecified