Provider Demographics
NPI:1578829412
Name:SAMSARA WORKS CORPORATION
Entity Type:Organization
Organization Name:SAMSARA WORKS CORPORATION
Other - Org Name:SOMANU MEDICAL WEIGHT LOSS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NALINIKRISHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DONIPARTHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-386-0378
Mailing Address - Street 1:PO BOX 5013
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36103-5013
Mailing Address - Country:US
Mailing Address - Phone:334-386-0378
Mailing Address - Fax:334-386-0382
Practice Address - Street 1:12990 HIGHWAY 9 N
Practice Address - Street 2:SUITE 114
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-4195
Practice Address - Country:US
Practice Address - Phone:678-242-0204
Practice Address - Fax:678-242-0406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty