Individual
DR. MADHAVI LATHA SIDDHANTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
355 TOWER RD NE STE 103, MARIETTA, GA 30060-9410
(770) 420-1690
Mailing address
700 CHURCH ST NE, MARIETTA, GA 30060-7220
(770) 420-1690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A101944
CA
207RR0500X
Rheumatology Physician
Primary
A69137
GA
Other
Enumeration date
03/25/2008
Last updated
10/10/2019
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