Suryadevara, Nagalakshmi Charitha

Suryadevara, Nagalakshmi Charitha is an individual health care provider with primary practice located at 1968 Peachtree Rd Nw , Atlanta GA 30309-1281. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Suryadevara, Nagalakshmi Charitha can be contacted via phone (404) 605-3248.

Contact Information

Primary practice address
1968 Peachtree Rd Nw Atlanta GA 30309-1281
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 058515 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 058515 Georgia

Profile Details

NPI number 1609083344
LBN Legal business name Suryadevara, Nagalakshmi Charitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Feb 26th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609083344 NPPES
Georgia MEDICAID 378304400D
Georgia MEDICAID 378304400C
Georgia MEDICAID 378304400F

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