Provider Demographics
NPI:1083958078
Name:SREEDEVI VAYALAPALLI, MD,PC
Entity Type:Organization
Organization Name:SREEDEVI VAYALAPALLI, MD,PC
Other - Org Name:CARE PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SREEDEVI
Authorized Official - Middle Name:
Authorized Official - Last Name:VAYALAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-994-5000
Mailing Address - Street 1:950 SCALES RD
Mailing Address - Street 2:SUITE # 302
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4340
Mailing Address - Country:US
Mailing Address - Phone:404-994-5000
Mailing Address - Fax:888-264-8367
Practice Address - Street 1:950 SCALES RD
Practice Address - Street 2:SUITE # 302
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4340
Practice Address - Country:US
Practice Address - Phone:404-994-5000
Practice Address - Fax:888-264-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0592262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty