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DR. KEVIN PAUL SANU MD
NPI 1710675715
Student in an Organized Health Care Education/Training Program in Dalton, GA

Active since April 27, 2023PECOS Enrolled
1432 BROADRICK DRIVE, DALTON, GA 30720(706) 226-8990(706) 529-5317 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2024, Aug 9, 2023 (2 updates tracked since 2023).

About Dr. Kevin Paul Sanu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN PAUL SANU MD (NPI 1710675715) is an individual student in an organized health care education/training program in Dalton, Georgia, licensed in Georgia (15058) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710675715
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KEVIN PAUL SANUCredential: MD
Location Address1432 BROADRICK DRIVEDalton, GA 30720
Mailing Address1200 Memorial DriveDalton, GA 30720 · (706) 226-8996 · Fax (706) 272-6761
Phone(706) 226-8990
Fax(706) 529-5317
Sole ProprietorNo
Enumeration DateApril 27, 2023
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 27, 2023
✔ NPI 1710675715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in GA · 15058
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1432 BROADRICK DRIVE, Dalton, GA 30720
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Paul Sanu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JASNEET RANDHAWA MD
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990
DR. BUGRA ZENGIN MD
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990
DR. SPENCER CARLTON MISNER DPM
Podiatrist
1432 BROADRICK DRIVE, DALTON FOOT AND ANKLE SURGERY CENTER
DALTON, GA 30720
Whitfield County (706) 226-1130
DR. MANSOOR RAHMAN MBBS
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990
DR. JOSE PABLO ARRIAGA FLORES MD
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990
DR. MOHAMMAD ZEYAD MOHAMMAD SALAMEH MD
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990
DR. ANUMEET SINGH TULI MD
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990
DR. AMI PIYUSHBHAI BHALODIA MBBS
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Paul Sanu's NPI number?

The NPI number for Kevin Paul Sanu is 1710675715. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Where is Kevin Paul Sanu located?

Kevin Paul Sanu practices at 1432 Broadrick Drive, Dalton, GA 30720. The listed phone number is (706) 226-8990.

What is Kevin Paul Sanu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Paul Sanu enrolled in Medicare?

Yes. Kevin Paul Sanu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Paul Sanu was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.