Provider Demographics
NPI:1831107655
Name:JOHN, PRIYA DAYAMANI (MD)
Entity Type:Individual
Prefix:
First Name:PRIYA
Middle Name:DAYAMANI
Last Name:JOHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PRIYA
Other - Middle Name:
Other - Last Name:DAYAMANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1365 CLIFTON RD NE BLDG A
Mailing Address - Street 2:INTERNAL MEDICINE/ENDOCRINOLOGY SUITE 4400
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-3280
Mailing Address - Fax:404-778-5730
Practice Address - Street 1:1365 CLIFTON RD NE BLDG A
Practice Address - Street 2:INTERNAL MEDICINE/ENDOCRINOLOGY SUITE 4400
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-3280
Practice Address - Fax:404-778-5730
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA056542207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI38597Medicare UPIN