Provider Demographics
NPI:1750112926
Name:MAA WOMENS HEALTH LLC
Entity type:Organization
Organization Name:MAA WOMENS HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PADMAVATHI
Authorized Official - Middle Name:V
Authorized Official - Last Name:PAGADALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:470-866-3200
Mailing Address - Street 1:566 PEACHTREE PKWY STE 121
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-9792
Mailing Address - Country:US
Mailing Address - Phone:470-866-3200
Mailing Address - Fax:470-866-3270
Practice Address - Street 1:566 PEACHTREE PKWY STE 121
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-9792
Practice Address - Country:US
Practice Address - Phone:470-866-3200
Practice Address - Fax:470-866-3270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty