Vidya Soundararajan MD

NPI 1053305631 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1053305631
Gender Female
Enumeration Date 09/09/2005
Last Updated 04/28/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
1791 MULKEY RD
SUITE 200
AUSTELL GA, 30106-1124, US
Phone (770) 732-5400
Fax (770) 944-0327
Business Location
1791 MULKEY RD
SUITE 200
AUSTELL GA, 30106-1124, US
Phone (770) 732-5400
Fax (770) 739-6006
Toxanomy
Taxonomy Code 207V00000X
License State Georgia
License Number 047949
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According to our database, Dr. Vidya Soundararajan MD NPI is 1053305631, taxonomy code is 207V00000X and license number is 047949, license state is located at Georgia. Vidya Soundararajan MD physically located at 1791 Mulkey Rd, Austell GA, 30106-1124. NPI Number Vidya Soundararajan MD has the Individual type.

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1053305631 NPI number is provided on an as is basis without warranty of any kind. 1053305631 is maintained by the National Plan & Provider Enumeration System. The contents of Vidya Soundararajan MD are for informational purposes only.