Individual
DR. SRINIVASA RAO AYINALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 PHILIP BLVD STE A, LAWRENCEVILLE, GA 30046
(770) 822-5560
(770) 822-4989
Mailing address
1355 PEACHTREE ST NE STE 1600, ATLANTA, GA 30309-3276
(678) 223-7774
(678) 223-7799
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
052531
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174126432B
—
GA
Enumeration date
10/24/2005
Last updated
09/04/2018
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