Individual provider · NPI-1

Dr. Madhurima Adulla, M.D

Internal Medicine, Nephrology · Lawrenceville, GA

NPI number1073523247
StatusActive
Last updated in NPPESOct 13, 2020

Details

NPI
1073523247
Entity type
Individual (NPI-1)
Name
Dr. Madhurima Adulla
Credential
M.D
Sex
Female
Sole proprietor
No
Enumeration date
Aug 9, 2006
Certification date
Oct 13, 2020
Last updated
Oct 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology57035GAYes
207R00000X Internal Medicine45830-020WI
207R00000X Internal Medicine057035GA

Practice location

665 Duluth Hwy Ste 401
Lawrenceville, GA 30046-4303

Phone 678-312-0450 · Fax 770-339-2135

Mailing address

665 Duluth Hwy Ste 801
Lawrenceville, GA 30046-8709

Phone 470-325-0148 · Fax 770-339-0485

Other practice locations

1200 Northside Forsyth Dr
Cumming, GA 30041-7659

Phone 770-844-3200 · Fax 770-844-3227

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