| Sreedevi Vayalapalli, Md,pc | |
|
950 Scales Rd Suite # 302 Suwanee GA 30024-4340 | |
| (404) 994-5000 | |
| (888) 264-8367 |
| Full Name | Sreedevi Vayalapalli, Md,pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 950 Scales Rd, Suwanee, Georgia |
| Authorized Official Name and Position | Sreedevi Vayalapalli (PRESIDENT) |
| Authorized Official Contact | 4049945000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sreedevi Vayalapalli, Md,pc 950 Scales Rd Suite # 302 Suwanee GA 30024-4340 Ph: (404) 994-5000 | Sreedevi Vayalapalli, Md,pc 950 Scales Rd Suite # 302 Suwanee GA 30024-4340 Ph: (404) 994-5000 |
| NPI Number | 1083958078 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Medicare PECOS PAC ID | 2769635747 |
|---|---|
| Medicare Enrollment ID | O20121227000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083958078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 059226 (Georgia) | Primary |
| Provider Name | Syed A Imam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144413733 PECOS PAC ID: 7618147521 Enrollment ID: I20121011000218 |
| Provider Name | Sreedevi Vayalapalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720133325 PECOS PAC ID: 4587818497 Enrollment ID: I20130131000074 |
| Provider Name | Cynthia Diane Kreutzer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720249642 PECOS PAC ID: 3173744802 Enrollment ID: I20141022002196 |
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