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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ARVIND JAYARAJ PONNAMBALAM, MD

Active

DR. ARVIND JAYARAJ PONNAMBALAM, MD is a Critical Care Medicine healthcare provider located in FAYETTEVILLE, Georgia. NPI 1073704581 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · FAYETTEVILLE, GA

Registration Details

NPI Number
1073704581
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2007 (19.041618698827 yrs)
Last Updated
Sep 28, 2016
Licenses
076655 (GA)
076655 (GA)

Practice Information

Address
1255 HIGHWAY 54 W
FAYETTEVILLE, GA, 302144526
Browse GA providers · Browse ZIP 30214
Phone
4043673014
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Pulmonary Disease

Other Critical Care Medicine Providers in FAYETTEVILLE, GA

Name Credential NPI
OLUMUYIWA JOSHUA MD 1144322157
DR. IKEMEFULA EMMANUEL EKEKWE MD 1952505570
DR. CURTIS JAMES COLEY II MD 1316102502
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.