Provider Demographics
NPI:1942493291
Name:SATYANARAYANA, GOWRI (MD)
Entity Type:Individual
Prefix:
First Name:GOWRI
Middle Name:
Last Name:SATYANARAYANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 JOHNSON FY RD NE STE 740
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1629
Mailing Address - Country:US
Mailing Address - Phone:404-300-2140
Mailing Address - Fax:404-300-2240
Practice Address - Street 1:980 JOHNSON FY RD NE STE 740
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1629
Practice Address - Country:US
Practice Address - Phone:404-300-2140
Practice Address - Fax:404-300-2240
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD49966207RI0200X
GA91465207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease