DR. MADHAVI LATHA SIDDHANTHI (NPI# 1659543130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659543130 |
| Entity Type | Individual |
| Full Name | DR. MADHAVI LATHA SIDDHANTHI |
| Credential | M.D |
| Practice Address |
355 Tower Rd Ne Ste 103 Marietta GA 30060-9410 |
| Mailing Address |
700 Church St Ne Marietta GA 30060-7220 |
| Practice Telephone | 7704201690 |
| Mailing Telephone | 7704201690 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A101944 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
A69137 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Church St Ne, Marietta, GA 300607220 | 7704201690 |
| Street Address |
355 TOWER RD NE STE 103 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-9410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246886 | Jacqueline Marie Hurd | Nurse Practitioner | 355 Tower Rd Ne Ste 103, Marietta, GA 30060-9410 | 2020-05-15 |
| 1245514637 | Kimberly Malejko | Physician Assistant | 355 Tower Rd Ne Ste 103, Marietta, GA 30060-9410 | 2011-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497061972 | Ritesh Kohli | Internal Medicine | 670 North Ave Nw Ste 100, Marietta, GA 30060-1100 | 2010-08-23 |
| 1811194681 | Mohammad Kamran | Internal Medicine | 355 Tower Road Suite 103, Marietta, GA 30060 | 2007-06-27 |
| 1801928692 | Kathleen L Johnson | Internal Medicine | 664 Willow Knoll Dr Se, Marietta, GA 30067-4682 | 2007-03-09 |
| 1023165172 | Jonathan D. Krant | Internal Medicine | 800 Wayne St Ste 100, Marietta, OH 45750-3309 | 2007-01-04 |
| 1114210127 | Wellstar Medical Group, LLC | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2011-05-24 |
| 1710114517 | Xena Antoinette Whittier | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2009-06-18 |
| 1730367343 | G Singelton Gaston Md | Internal Medicine | 2550 Windy Hill Rd Se, Suite 101, Marietta, GA 30067-8665 | 2008-02-06 |
| 1366625139 | The Arthritis Center At Windy Hill,pc | Internal Medicine | 2550 Windy Hill Rd Se, Suite 101, Marietta, GA 30067-8665 | 2007-12-14 |
| 1720287188 | Wellstar Rheumatology Associates of Marietta, LLC | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2007-07-16 |
| 1508819467 | Gloria Singleton Gaston | Internal Medicine | 2550 Windy Hill Rd Se, Suite 101, Marietta, GA 30067-8665 | 2006-05-19 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.