DR. SUNIT SEBASTIAN (NPI# 1205075041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205075041 |
| Entity Type | Individual |
| Full Name | DR. SUNIT SEBASTIAN |
| Credential | M.D. |
| Practice Address |
1231 Clairmont Rd Apt 26c Decatur GA 30030-1242 |
| Mailing Address |
2500 North State Street Jackson MS 39216 |
| Practice Telephone | 4042755049 |
| Mailing Telephone | 6019842538 |
| Mailing Fax Number | 6018151854 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2014-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
N/A | GA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
766-L | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 157467 | 05 | |
| RAILROAD MEDICARE | P00775915 | 01 |
| Street Address |
1231 CLAIRMONT RD APT 26C |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650136 | Tbi Diagnostic Centers of Georgia | Radiology | 4294 Memorial Dr Ste D, Decatur, GA 30032-1226 | 2020-08-21 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1952746802 | Saurabh Gupta | Radiology | 2675 N Decatur Rd Ste 310, Decatur, GA 30033-6133 | 2013-05-06 |
| 1972735009 | Open Mri of Georgia, Inc | Radiology | 2859 N Decatur Rd, Decatur, GA 30033-5911 | 2009-08-24 |
| 1447276225 | Kevin L. Sullivan | Radiology | 250 Ponce De Leon Ave, Suite 100, Decatur, GA 30030-3406 | 2006-07-14 |
| 1366479255 | Todd F Fibus | Radiology | Vamc-atlanta, 1670 Clairmont Road, Decatur, GA 30033 | 2006-06-27 |
| 1942255757 | Martha H Garrison | Radiology | 125 E Trinity Pl, Suite 201, Decatur, GA 30030-3360 | 2006-05-23 |
| 1578539557 | Abbas A Chamsuddin | Radiology | 1501 Clairmont Rd, Apt 1731, Decatur, GA 30033-4601 | 2006-02-28 |
| 1215919121 | Sandra L Ridings-hesser | Radiology | 496 Medlock Rd Lowr Level, Decatur, GA 30030-1566 | 2005-11-16 |
| 1255312070 | Northwest Diagnostic Imaging, Inc | Radiology | 2601 N Decatur Rd, Decatur, GA 30033-6127 | 2005-11-09 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.