Individual
DR. SUDAVE D MENDIRATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 616-6673
(404) 616-0191
Mailing address
554 LULLINGSTONE DR SE, MARIETTA, GA 30067-2717
(770) 298-4185
(404) 616-0191
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
001325
GA
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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