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Contact Information

SRINAND MANDYAM, MD
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA30046-8768
 Phone: 770-962-3642
 Fax: 770-962-3643
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for SRINAND MANDYAM · (Male)

NPI # 1306162037
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2010
Last updated 04/17/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 70149
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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