Jammalamadaka, Divakar
Jammalamadaka, Divakar is an individual health care provider with primary practice located at 2386 Clower St Ste C105 , Snellville GA 30078-6107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jammalamadaka, Divakar can be contacted via phone (678) 344-0334.Contact Information
Primary practice address
2386 Clower St Ste C105
Snellville GA 30078-6107
Phone: (678) 344-0334
Fax: (678) 344-0343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 66378 | Georgia |
Profile Details
| NPI number | 1265699920 |
|---|---|
| LBN Legal business name | Jammalamadaka, Divakar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2008 |
| Last updated | Dec 10th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265699920 | NPPES |
| Georgia | MEDICAID | 003118431A |
Popular Providers
-
Pakanati, Abhinandan Reddy
2386 Clower St Ste C105 , Snellville GA 30078-6107 -
Ferraro, James C.
6622 N 91St Ave Ste 200 , Glendale AZ 85305-2569 -
Murphy, Michael N
410 Fleischmann Way Suite B, Carson City NV 89703-3973 -
Palacherla, Jithendranath
1567 Janmar Road Suite 100, Snellville GA 30078 -
Aly, Aly E
3366 Nw Expressway Bldg D Suite 730, Oklahoma City OK 73112-4462 -
Corredor, Juan S
3291 Skypark Dr , Torrance CA 90505-5004 -
Kailash, Shashank
2386 Clower St Ste C105 , Snellville GA 30078-6107 -
Kornetsky, Kenneth M
406 Hospital Dr , Warrenton VA 20186-3026