MEDICARE: SURABHI ARJUNAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35-083318	OH

General Provider Information

NPI Number	:	1841245719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SURABHI ARJUNAN MD

Provider Business Mailing Address
First Line	:	4480 N COOPER LAKE RD SE
Second Line	:	SUITE 201
City	:	SMYRNA
State	:	GA
Zip	:	30082-4622
Country	:	US
Telephone Number	:	770-333-2035
Fax Number	:	770-333-2059

Provider Business Practice Location Address
First Line	:	4480 N COOPER LAKE RD SE
Second Line	:	SUITE 201
City	:	SMYRNA
State	:	GA
Zip	:	30082-4622
Country	:	US
Telephone Number	:	770-333-2035
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	01/13/2022

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