Individual
UMA V PATWARDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD, KAISER PERMANENTE @ NORTHSIDE HOSPITAL, ATLANTA, GA 30342-1606
(404) 851-8000
(912) 350-2156
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 504-5678
(912) 350-2156
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
070399
GA
208M00000X
Hospitalist Physician
Primary
070399
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136139A
—
GA
05
—
GA1551
—
SC
01
—
P01210866
RAILROAD MEDICARE
GA
Enumeration date
05/11/2010
Last updated
01/10/2022
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