Individual
DR. SIDDHARTHA KOSARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE # B115, ATLANTA, GA 30322-3049
(404) 712-4583
Mailing address
49 JESSE HILL JR DR SE, #480A, ATLANTA, GA 30303-3049
(404) 251-8796
(404) 251-8680
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
95858
GA
2085R0202X
Diagnostic Radiology Physician
Primary
95858
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2017
Last updated
06/16/2023
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