Mudaliar, Junaid Hussain
Mudaliar, Junaid Hussain is an individual health care provider with primary practice located at 20 Glenlake Pkwy Kaiser Permanente Glenlake Medical Center, Atlanta GA 30328-3473. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Mudaliar, Junaid Hussain can be contacted via phone (678) 684-1040.Contact Information
Primary practice address
20 Glenlake Pkwy Kaiser Permanente Glenlake Medical Center
Atlanta GA 30328-3473
Phone: (678) 684-1040
Fax: (678) 684-1045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 050323 | Georgia |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 050323 | Georgia |
Profile Details
| NPI number | 1215904834 |
|---|---|
| LBN Legal business name | Mudaliar, Junaid Hussain |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Jan 13th, 2022 - about 2 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 | 1215904834 | NPPES |
| Georgia | MEDICAID | 000913019C |
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