Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | DR.0062058 | CO |
N | 204F00000X | Transplant Surgeon | ME110289 | FL |
N | 208200000X | Surgeon | ME110289 | FL |
N | 208600000X | Surgeon | ME110289 | FL |
NPI | 1730387697 |
---|---|
Provider Name | Dr. Giridhar Venkata Vedula |
First Address | Atlanta, GA 30309-1281 |
Second Address | Atlanta, GA 30309-1281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 03/12/2021 |