Ponnambalam, Arvind Jayaraj

Ponnambalam, Arvind Jayaraj is an individual health care provider with primary practice located at 1255 Highway 54 W , Fayetteville GA 30214-4526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Ponnambalam, Arvind Jayaraj can be contacted via phone (404) 367-3014.

Contact Information

Primary practice address
1255 Highway 54 W Fayetteville GA 30214-4526
Phone: (404) 367-3014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 076655 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 076655 Georgia

Profile Details

NPI number 1073704581
LBN Legal business name Ponnambalam, Arvind Jayaraj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2007
Last updated Sep 28th, 2016 - about 10 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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