Individual
VIRANUJ SUEBLINVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1525 CLIFTON RD NE, 4TH FLOOR, ATLANTA, GA 30322-4200
(404) 778-2700
Mailing address
PULMONARY CLINIC, 1365A CLIFTON ROAD, 4TH FLOOR, ATLANTA, GA 30322-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-107280
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-107280
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
061664
GA
207RP1001X
Pulmonary Disease Physician
036-107280
IL
207RP1001X
Pulmonary Disease Physician
Primary
061664
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
670028950F
—
GA
Enumeration date
06/04/2006
Last updated
09/11/2015
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