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MADHAVI SURENDRA CHAVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
994 MORGAN GARNER DR SW, LILBURN, GA 30047-5480
(858) 231-8931

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009-01824
NC
207R00000X
Internal Medicine Physician
Primary
63390
GA
207R00000X
Internal Medicine Physician
A105287
CA

Other

Enumeration date
06/04/2009
Last updated
03/13/2012
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