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NPI Code Detail

MEDICARE: SREEDEVI VELUVARTI AVDHANI M.D

MEDICARE: SREEDEVI VELUVARTI AVDHANI M.D
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
1207R00000XInternal Medicine PhysicianMT201542PA
2207RE0101XEndocrinology, Diabetes & Metabolism PhysicianT3233MS
3207RE0101XEndocrinology, Diabetes & Metabolism Physician80411GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080411OTHERGAGA MEDICAL LICENSE

General Provider Information

NPI Number : 1235490780
Entity Type Code : Individual
Provider Name (Legal Business Name) : SREEDEVI VELUVARTI AVDHANI M.D
Provider Business Mailing Address
First Line : 3500 MCCLURE BRIDGE RD
Second Line :
City : DULUTH
State : GA
Zip : 30096-3131
Country : US
Telephone Number : 770-476-3636
Fax Number : 770-476-5845
Provider Business Practice Location Address
First Line : 3500 MCCLURE BRIDGE RD
Second Line :
City : DULUTH
State : GA
Zip : 30096-3131
Country : US
Telephone Number : 770-476-3636
Fax Number : 770-476-5845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2012
Last Update Date : 03/03/2024

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