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Individual

DR. VARACHATI SOODJINDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
592 MEDICAL PARK DR, SUITE A, GAINESVILLE, GA 30501-2055
(770) 374-0068
Mailing address
3206 POST WOODS DR, #B, ATLANTA, GA 30339-3498
(404) 988-4262

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
63961
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
980767
UPIN
FL
Enumeration date
06/10/2010
Last updated
06/10/2010
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