Individual
CHALAM MAHADEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4060 JOHNS CREEK PKWY, BLD E, SUWANEE, GA 30024-1230
(678) 615-3511
(678) 395-4642
Mailing address
4060 JOHNS CREEK PKWY, BLD E, SUWANEE, GA 30024-1230
(678) 615-3511
(678) 395-4642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
59827
GA
Other
Enumeration date
05/07/2007
Last updated
10/03/2023
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