| Infectious Disease Professionals, Llc | |
|
101 Greenfield Dr Ste 100 Cumming GA 30040-2727 | |
| (678) 845-7300 | |
| Not Available |
| Full Name | Infectious Disease Professionals, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Greenfield Dr Ste 100, Cumming, Georgia |
| Authorized Official Name and Position | Suresh Vemulamada (MANAGER) |
| Authorized Official Contact | 3526179649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Professionals, Llc Po Box 3988 Alpharetta GA 30023-3988 Ph: (678) 542-3499 | Infectious Disease Professionals, Llc 101 Greenfield Dr Ste 100 Cumming GA 30040-2727 Ph: (678) 845-7300 |
| NPI Number | 1174613459 |
|---|---|
| Provider Enumeration Date | 10/15/2006 |
| Last Update Date | 07/25/2024 |
| Medicare PECOS PAC ID | 2567445372 |
|---|---|
| Medicare Enrollment ID | O20040611000896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174613459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 50861 (Georgia) | Primary |
| Provider Name | Madhavi D Rayapudi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215971668 PECOS PAC ID: 1557344363 Enrollment ID: I20040614000011 |
| Provider Name | Mallika Devarapalli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871972992 PECOS PAC ID: 0840599015 Enrollment ID: I20220607003352 |
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