Provider Demographics
NPI:1811316292
Name:SANGHA, THALVINDER STEVEN (MD)
Entity type:Individual
Prefix:
First Name:THALVINDER
Middle Name:STEVEN
Last Name:SANGHA
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 1:4395 JOHNS CREEK PKWY STE 130
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6125
Mailing Address - Country:US
Mailing Address - Phone:678-957-0047
Mailing Address - Fax:678-957-0047
Practice Address - Street 1:4395 JOHNS CREEK PKWY STE 130
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6125
Practice Address - Country:US
Practice Address - Phone:678-957-0057
Practice Address - Fax:678-957-0047
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.131291207RG0100X
GA85987207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty