IndividualActive
Arvind Ponnambalam, MD
NPI 1073704581 · Critical Care Medicine (Internal Medicine) Physician · Fayetteville, GA
Provider details
- NPI number
- 1073704581
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 076655 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (404) 367-3014
Approximate (ZIP-level) locationGet directions
Mailing address
1255 Highway 54 W
Fayetteville, GA 30214-4526
Registry dates
- Enumerated
- 2007-08-08
- Last updated
- 2016-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.