Individual ProviderSaksham SuloveInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1439 Jesse Jewell Pkwy NE Ste 202, Gainesville, GA 30501-3806(770) 219-0026(770) 219-8420PECOS EnrollmentBased on the most recent information from CMS, provider Saksham Sulove is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1871881508Provider TypeIndividualFull NameSulove, SakshamCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/15/2011Last Updated12/5/2024Contact InformationPractice LocationPractice Address1439 Jesse Jewell Pkwy NE Ste 202, Gainesville, GA 30501-3806Phone(770) 219-0026FaxUnlisted FaxMailing LocationMailing AddressPO Box 742616, Atlanta, GA 30374-2616Phone(770) 219-8420FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense94332GeorgiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense308600Louisiana