Soundararajan, Vidya
Soundararajan, Vidya is an individual health care provider with primary practice located at 1791 Mulkey Rd Suite 200, Austell GA 30106-1124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Soundararajan, Vidya can be contacted via phone (770) 732-5400.Contact Information
Primary practice address
1791 Mulkey Rd Suite 200
Austell GA 30106-1124
Phone: (770) 732-5400
Fax: (770) 944-0327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 047949 | Georgia |
Profile Details
| NPI number | 1053305631 |
|---|---|
| LBN Legal business name | Soundararajan, Vidya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Dec 16th, 2019 - about 7 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 | 1053305631 | NPPES |
| Georgia | MEDICAID | 00844841A | |
| Georgia | Other | 58-1397572 |
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