Basavaraju, Madhuri P

Basavaraju, Madhuri P is an individual health care provider with primary practice located at 3650 Steve Reynolds Boulevard Kaiser Permanente Gwinnett Medical Office, Duluth GA 30096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Basavaraju, Madhuri P can be contacted via phone (770) 931-6010.

Contact Information

Primary practice address
3650 Steve Reynolds Boulevard Kaiser Permanente Gwinnett Medical Office Duluth GA 30096
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 002102 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 062947 Georgia

Profile Details

NPI number 1497932685
LBN Legal business name Basavaraju, Madhuri P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Jan 28th, 2010 - about 15 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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