Individual
DR. NAGA BHAVANI MEDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 NORTHSIDE FORSYTH DRIVE, SUITE 350, KAISER PERMANENTE FORSYTH MEDICAL CENTER, CUMMING, GA 30041
(214) 265-1818
(214) 265-1806
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
(972) 860-8679
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
057104
GA
207N00000X
Dermatology Physician
M4876
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2006
Last updated
11/09/2015
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