Individual
ADISESHU V. GUNDLAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1605 CHANTILLY DR NE STE 392, ATLANTA, GA 30324-3267
(404) 778-3261
Mailing address
5815 PINE BROOK RD, ATLANTA, GA 30328-5225
(018) 473-6628
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
84117
GA
207RI0200X
Infectious Disease Physician
Primary
84117
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00440570
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
09/11/2023
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