Organization
M. SRINIVASAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUTHAYYAH SRINIVASAN MD (PRINICIPLE)
(770) 322-8881
Entity
Organization
Contact information
Practice address
5255 SNAPFINGER PARK DR, SUITE 130, DECATUR, GA 30035-4084
(770) 322-8881
(770) 322-8886
Mailing address
5255 SNAPFINGER PARK DR, SUITE 130, DECATUR, GA 30035-4084
(770) 322-8881
(770) 322-8886
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
52836
GA
Other
Enumeration date
07/23/2006
Last updated
06/02/2010
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