Provider Demographics
NPI:1134270440
Name:DIVGI, VARADA DINKAR (MBBS FAAP)
Entity type:Individual
Prefix:
First Name:VARADA
Middle Name:DINKAR
Last Name:DIVGI
Suffix:
Gender:F
Credentials:MBBS FAAP
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Mailing Address - Street 1:4541 DEVONSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5684
Mailing Address - Country:US
Mailing Address - Phone:770-455-9996
Mailing Address - Fax:770-454-9419
Practice Address - Street 1:4468 CHAMBLEE DUNWOODY RD
Practice Address - Street 2:SUITE M3
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6253
Practice Address - Country:US
Practice Address - Phone:770-455-9996
Practice Address - Fax:770-454-9419
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA227472080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology