MADHURI P BASAVARAJU

DULUTH, GA
NPI1497932685
Former NameMADHURI PUTCHA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: GA  062947)
Additional Taxonomies208000000X Pediatrics
(Licence: GA  002102)
Enumeration Date2008-01-30
Last Update Date2010-01-28
Business Address
Mrs. MADHURI P BASAVARAJU M.D.
3650 STEVE REYNOLDS BOULEVARD KAISER PERMANENTE GWINNETT MEDICAL OFFICE
DULUTH, GA 30096
Phone number: 770-931-6010
Mailing Address
Mrs. MADHURI P BASAVARAJU M.D.
3495 PIEDMONT ROAD NE NINE PIEDMONT CENTER
ATLANTA, GA 30305
Phone number: 404-364-7070