| Dr Sridevi Muthukumar, MD | |
|
10710 Medlock Bridge Rd, 250, Johns Creek, GA 30097-1827 | |
| (770) 870-1085 | |
| (770) 870-1086 |
| Full Name | Dr Sridevi Muthukumar |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 10710 Medlock Bridge Rd, Johns Creek, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508031048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 63377 (Georgia) | Primary |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sridevi Muthukumar, MD 10710 Medlock Bridge Rd, 250, Johns Creek, GA 30097-1827 Ph: (770) 870-1085 | Dr Sridevi Muthukumar, MD 10710 Medlock Bridge Rd, 250, Johns Creek, GA 30097-1827 Ph: (770) 870-1085 |
Malvika Uppal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6300 Hospital Pkwy Ste 250, Johns Creek, GA 30097 Phone: 770-495-6258 Fax: 770-495-8219 | |
Dr. Annette Marie Hinchcliffe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6300 Hospital Pkwy Ste 125, Johns Creek, GA 30097 Phone: 770-814-8883 Fax: 770-814-8162 | |
Dr. Jeffrey Scott Lim, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 6470 E Johns Xing Ste 160, Johns Creek, GA 30097 Phone: 941-286-2542 |