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NPI Code Detail

MEDICARE: ARVINTH SHIVAA SETHURAMAN MD

MEDICARE: ARVINTH SHIVAA SETHURAMAN 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
1208000000XPediatrics Physician103690GA

General Provider Information

NPI Number : 1306596465
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARVINTH SHIVAA SETHURAMAN MD
Provider Business Mailing Address
First Line : 2220 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3117
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2220 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3117
Country : US
Telephone Number : 404-785-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2022
Last Update Date : 02/06/2026

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