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Individual

PAVITRA SUHANI SRINIVASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1365 CLIFTON RD NE ATTENTION: TIFFANY SMITH, EMORY HEALTHCARE DEPARTMENT OF NEUROSURGERY, ATLANTA, GA 30322
(404) 778-3813
Mailing address
1365 CLIFTON RD NE ATTENTION: TIFFANY SMITH, EMORY HEALTHCARE DEPARTMENT OF NEUROSURGERY, ATLANTA, GA 30322

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
95630
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/11/2019
Last updated
06/06/2023
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