Most Relevant Information
Provider Data
| NPI Number: | 1003814112 |
| Provider Name: | BHARATH SRIVATSA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2080N0001X |
| Specialty: | Pediatrics |
| License Number: | 049102 |
Most Important Dates
| Enumeration Date: | 07/12/2005 |
| Last Updated: | 04/19/2011 |
Provider Practice Location
5901 PEACHTREE DUNWOODY RD NE
SUITE B 420
ATLANTA
GA
303285382
Practice Location Phone/Fax
| Phone: | 4042529751 |
| Fax: | 6789905763 |
Provider Mailing Location
5901 PEACHTREE DUNWOODY RD NE
SUITE B 420
ATLANTA
GA
303285382
Provider Mailing Phone/Fax
| Phone: | 4042529751 |
| Fax: | 6789905763 |