Individual
VINDHYA ATHULURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720
(706) 272-6000
Mailing address
753 CLASSONA VENUE 10 B, BROOKLYN, NY 11238
(917) 757-6326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
296784
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
10/28/2015
Last updated
07/17/2019
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