Individual
DR. HIMA BINDU KADIYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
970 WOODSTOCK PKWY, SUITE 100, WOODSTOCK, GA 30188-4868
(678) 388-5750
(678) 388-5785
Mailing address
970 WOODSTOCK PKWY, SUITE 100, WOODSTOCK, GA 30188-4868
(678) 388-5750
(678) 388-5785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07894700
NJ
208M00000X
Hospitalist Physician
25MA07894700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00356278
RAILROAD MEDICARE
NJ
Enumeration date
05/04/2006
Last updated
02/14/2014
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