Provider Demographics
NPI:1134475114
Name:SATYANARAYANA, PRERNA (MD)
Entity type:Individual
Prefix:
First Name:PRERNA
Middle Name:
Last Name:SATYANARAYANA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 UPPER HEMBREE RD
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-1146
Mailing Address - Country:US
Mailing Address - Phone:770-475-2377
Mailing Address - Fax:770-442-0193
Practice Address - Street 1:950 SANDERS RD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-5960
Practice Address - Country:US
Practice Address - Phone:770-475-2377
Practice Address - Fax:770-442-0193
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA78395207R00000X, 208M00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIH971ZMedicare Oscar/Certification