Dr. Chandana Prabhudev, M.D.
Pediatrics in Griffin, GA. Individual provider (NPI-1).
NPI number1154400547
StatusActive
Last updated in NPPESMar 20, 2012
Details
- NPI
- 1154400547
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chandana Prabhudev
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2006
- Last updated
- Mar 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 055272 | GA | Yes |
Practice location
1661 W McIntosh RdGriffin, GA 30223-1717
Phone 770-233-4668 · Fax 678-666-5131
Mailing address
1661 W McIntosh RdGriffin, GA 30223-1717
Phone 770-233-4668 · Fax 678-666-5131
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