| NPI | 1104884220 |
|---|---|
| Former Legal Business Name | SUBRA K. NAIDU, MD, PC |
| Entity Type | Organization |
| Authorized Contact | SHYAMA K NAIDU Administrator 770-389-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2016-02-04 |