Individual
SIVA CHIRANJEEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1404 RIVER PL STE 501, BRASELTON, GA 30517-5600
(770) 534-2020
Mailing address
200 S ENOTA DR NE STE 200, GAINESVILLE, GA 30501-3466
(770) 534-2020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
008443
GA
207RC0000X
Cardiovascular Disease Physician
Primary
92794
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2015
Last updated
12/02/2022
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