Sridhar Venkata Basavaraju M.D.

NPI 1497942817 - Emergency Medicine - 207P00000X

NPI Details
NPI 1497942817
Gender Male
Enumeration Date 09/30/2007
Last Updated 09/30/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
531 ASBURY CIR
SUITE N340
ATLANTA GA, 30322-1006, US
Phone (404) 778-2624
Fax
Business Location
5207 WESTCHESTER RDG NE
ATLANTA GA, 30329-7801, US
Phone (404) 639-6341
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Georgia
License Number 060041
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According to our database, Sridhar Venkata Basavaraju M.D. NPI is 1497942817, taxonomy code is 207P00000X and license number is 060041, license state is located at Georgia. Sridhar Venkata Basavaraju M.D. physically located at 531 Asbury Cir, Atlanta GA, 30322-1006. NPI Number Sridhar Venkata Basavaraju M.D. has the Individual type.

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1497942817 NPI number is provided on an as is basis without warranty of any kind. 1497942817 is maintained by the National Plan & Provider Enumeration System. The contents of Sridhar Venkata Basavaraju M.D. are for informational purposes only.