Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Satishkumar Mudduranganath Ganjam, MD

Individual provider Family Medicine Physician · NPI 1053587949

Dr. Satishkumar Mudduranganath Ganjam, MD is a Family Practice in Alpharetta, Georgia. Qualified in 1996, 30 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
30
Licensed in
GA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3905 Brookside Pkwy Ste 300
Alpharetta, GA 30022-4458
Phone: (770) 442-1911
Fax: (707) 442-0306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 61583 (GA)

Record details

NPI number1053587949
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2008
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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