Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RADHIKA MUDIYALA, M.D.
Active Sole ProprietorDR. RADHIKA MUDIYALA, M.D. is a Gastroenterology healthcare provider located in SMYRNA, Georgia. NPI 1336195254 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · SMYRNA, GA
Registration Details
- NPI Number
- 1336195254
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 25, 2006 (20.252686040849 yrs)
- Last Updated
- Aug 12, 2009
- License
-
051069 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3606 HIGHLANDS PKWY SEBLDG # 1SMYRNA, GA, 300825184Browse GA providers · Browse ZIP 30082
- Phone
- 6783035082
- Fax
- 6783035160
- Primary Specialty
-
Gastroenterology
207RG0300X
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.