Chadalawada, Purna L
Chadalawada, Purna L is an individual health care provider with primary practice located at 808 Commerce Blvd Ste A, Riverdale GA 30296. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chadalawada, Purna L can be contacted via phone (770) 996-9191.Contact Information
Primary practice address
808 Commerce Blvd Ste A
Riverdale GA 30296
Phone: (770) 996-9191
Fax: (770) 996-5298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 047412 | Georgia |
Profile Details
| NPI number | 1770532624 |
|---|---|
| LBN Legal business name | Chadalawada, Purna L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Sep 29th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770532624 | NPPES |
| Georgia | MEDICAID | 00893285A |
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