Provider Demographics
NPI:1801625769
Name:ASPIRE MEDICAL GROUP LLC
Entity type:Organization
Organization Name:ASPIRE MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANDINI
Authorized Official - Middle Name:R
Authorized Official - Last Name:SUNKIREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-953-2809
Mailing Address - Street 1:5820 CLARION ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-0389
Mailing Address - Country:US
Mailing Address - Phone:770-764-1234
Mailing Address - Fax:770-215-1862
Practice Address - Street 1:5820 CLARION ST STE 101
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-0389
Practice Address - Country:US
Practice Address - Phone:770-764-1234
Practice Address - Fax:770-215-1862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty