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Individual

SRICHARAN CHOWDARY KANTIPUDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
275 COLLIER RD NW, STE 500, ATLANTA, GA 30309-1709
(404) 605-2800
(404) 351-5983
Mailing address
275 COLLIER RD NW, STE 500, ATLANTA, GA 30309-1709
(404) 605-2800
(404) 351-5983

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
057211
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
057211
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
080094189IJKLM
GA
Enumeration date
07/02/2006
Last updated
02/21/2012
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