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1497942817
SRIDHAR VENKATA BASAVARAJU
ATLANTA, GA
NPI
1497942817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 060041)
Enumeration Date
2007-09-30
Last Update Date
2007-09-30
Business Address
-- SRIDHAR VENKATA BASAVARAJU M.D.
531 ASBURY CIR SUITE N340
ATLANTA, GA 30322-1006
Phone number: 404-778-2624
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Mailing Address
-- SRIDHAR VENKATA BASAVARAJU M.D.
5207 WESTCHESTER RDG NE
ATLANTA, GA 30329-7801
Phone number: 404-639-6341
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