Sanusi, H David

Sanusi, H David is an individual health care provider with primary practice located at 2500 Dallas Hwy Pmb 160 Ste 202, Marietta GA 30064-7505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Sanusi, H David can be contacted via phone (770) 920-6413.

Contact Information

Primary practice address
2500 Dallas Hwy Pmb 160 Ste 202 Marietta GA 30064-7505
Phone: (770) 920-6413
Fax: (678) 974-3113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036450 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036450 Georgia

Profile Details

NPI number 1720060668
LBN Legal business name Sanusi, H David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 17th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720060668 NPPES
Georgia MEDICAID 000573185D
Georgia MEDICAID 000573185F
Georgia MEDICAID 491431789A

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