Satishkumar Mudduranganath Ganjam MD

NPI 1053587949 - Family Medicine - 207Q00000X

NPI Details
NPI 1053587949
Gender Male
Enumeration Date 05/01/2008
Last Updated 12/06/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
3400 OLD MILTON PKWY STE C270
ALPHARETTA GA, 30005-4414, US
Phone (770) 442-1911
Fax (770) 663-8905
Business Location
3400C OLD MILTON PARKWAY 270
ALPHARETTA GA, 30005-4414, US
Phone (770) 442-6690
Fax (770) 663-8905
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number MT186952
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According to our database, Dr. Satishkumar Mudduranganath Ganjam MD NPI is 1053587949, taxonomy code is 207Q00000X and license number is MT186952, license state is located at Pennsylvania. Satishkumar Mudduranganath Ganjam MD physically located at 3400 Old Milton Pkwy Ste C270, Alpharetta GA, 30005-4414. NPI Number Satishkumar Mudduranganath Ganjam MD has the Individual type.

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1053587949 NPI number is provided on an as is basis without warranty of any kind. 1053587949 is maintained by the National Plan & Provider Enumeration System. The contents of Satishkumar Mudduranganath Ganjam MD are for informational purposes only.