Individual
UMA MUDALIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
Q6542
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2009
Last updated
07/19/2023
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