Individual
DR. MADHURI VISWANADHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11125 JONES BRIDGE RD STE 100, ALPHARETTA, GA 30022-0001
(770) 615-7000
(770) 884-4170
Mailing address
11125 JONES BRIDGE RD STE 100, ALPHARETTA, GA 30022-0001
(770) 615-7000
(770) 884-4170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
060103
GA
208000000X
Pediatrics Physician
M3418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
527153030E
—
GA
Enumeration date
10/15/2006
Last updated
05/29/2020
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