Individual
DR. SIDDHARTHA S THANAWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-4583
(404) 712-7957
Mailing address
1514 SHERIDAN RD, APT 2308, ATLANTA, GA 30324
(443) 722-4639
(404) 712-7957
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
061009
GA
Other
Enumeration date
07/09/2008
Last updated
04/13/2022
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