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Contact Information

THARA M VIDYASAGARAN, MD
1364 CLIFTON RD NE
ATLANTA, GA30322
 Phone: 404-712-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for THARA M VIDYASAGARAN · (Female)

NPI Number 1043566201
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2012
Last updated 06/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 075697
Hospital affiliation(s)
  • SAINT JOSEPH'S HOSPITAL OF ATLANTA INC - (Acute Care)
    5665 PEACHTREE DUNWOODY ROAD
    ATLANTA, GA 30342
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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