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Individual

MRS. PADMAVATHI V. PAGADALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
566 PEACHTREE PKWY, CUMMING, GA 30041-9792
(470) 866-3200
(470) 866-3270
Mailing address
566 PEACHTREE PKWY STE 121, CUMMING, GA 30041-9792
(470) 866-3200
(470) 866-3270

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
081621
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00312955A
GA
01
98734
BCBS
IL
Enumeration date
12/08/2006
Last updated
04/04/2025
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