Provider Demographics
NPI:1871579300
Name:SARMA, AKKARAJU VS (MD,)
Entity type:Individual
Prefix:DR
First Name:AKKARAJU
Middle Name:VS
Last Name:SARMA
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:OCILLA
Mailing Address - State:GA
Mailing Address - Zip Code:31774-1421
Mailing Address - Country:US
Mailing Address - Phone:229-468-9166
Mailing Address - Fax:229-468-9188
Practice Address - Street 1:1309 OCILLA RD
Practice Address - Street 2:SUITE A
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-2209
Practice Address - Country:US
Practice Address - Phone:912-384-2252
Practice Address - Fax:912-384-8888
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA024487207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA85001553GOtherGA BETTER HEALTH CARE
GA000257463JMedicaid
GA024487OtherSTATE LICENSE NUMBER
GA00257463AMedicaid
D46818Medicare UPIN