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NPI Verification

National Provider Identifier: 1770676405

Srinivas Bontha, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

625 CHURCH ST NE

MARIETTA, GA 300601101

Phone: 770-422-2004

NPI Enumeration Date

October 2, 2006

NPI Number

1770676405

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry