IndividualActive
Siddhartha Thanawala, MD
NPI 1548423494 · Neuroradiology Physician · Atlanta, GA
Provider details
- NPI number
- 1548423494
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 061009 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1364 Clifton Rd Ne
Atlanta, GA 30322-1059
Phone: (404) 712-4583
Fax: (404) 712-7957
Approximate (ZIP-level) locationGet directions
Mailing address
1514 Sheridan Rd
Atlanta, GA 30324
Registry dates
- Enumerated
- 2008-07-09
- Last updated
- 2022-04-13
- Certified
- 2022-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.