Individual
DR. SHRADDHA TONGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3320 OLD JEFFERSON RD, BUILDING 200, SUITE A, ATHENS, GA 30607-1400
(706) 549-5560
(706) 543-2593
Mailing address
3320 OLD JEFFERSON RD, BUILDING 200, SUITE A, ATHENS, GA 30607-1400
(706) 549-5560
(706) 543-2593
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
56374
GA
207RP1001X
Pulmonary Disease Physician
Primary
56374
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
56374
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589958479A
—
GA
Enumeration date
02/16/2007
Last updated
10/14/2008
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