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

Dr. Sreenivasulu R. Gangasani, MD

Individual provider Cardiovascular Disease Physician · NPI 1215923701

Dr. Sreenivasulu R. Gangasani, MD is an Advanced Heart Failure and Transplant Cardiology in Lawrenceville, Georgia. Qualified in 1990, 36 years ago. Practices with Northside Cv Professional Services LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
36
Licensed in
GA
In the registry since
2005
Specialties on file
3
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

310 Philip Blvd Ste 102
Lawrenceville, GA 30046-8700
Phone: (678) 841-8412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 48777 (GA)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 48777 (GA)
Advanced Heart Failure and Transplant Cardiology Physician Taxonomy 207RA0001X · Licence 48777 (GA)

Record details

NPI number1215923701
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 21, 2005
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

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

Medicare specialtyADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Northside Cv Professional Services Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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