Provider Demographics
NPI:1952381444
Name:KATTA, SADASIVA RAO (MD)
Entity Type:Individual
Prefix:DR
First Name:SADASIVA
Middle Name:RAO
Last Name:KATTA
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:4700 WHITESBURG DR SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1685
Mailing Address - Country:US
Mailing Address - Phone:256-882-1450
Mailing Address - Fax:256-882-3823
Practice Address - Street 1:4700 WHITESBURG DR SE
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1685
Practice Address - Country:US
Practice Address - Phone:256-882-1450
Practice Address - Fax:256-882-3823
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2022-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL19795207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000026675Medicaid
AL000026675Medicaid
AL000026675Medicare PIN