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

Sudha Dirisanala

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922703586

Sudha Dirisanala is an Internal Medicine in Gainesville, Georgia. Qualified in 2016, 10 years ago. Accepts Medicare assignment.

Years since qualifying
10
In the registry since
2023
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Practice location Address checks out

1439 Jesse Jewell Ste 301
Gainesville, GA 30501
Phone: (770) 219-0023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1922703586
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address743 Spring Street, Suite 710, Gainesville, GA 30501

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Gainesville