OrganizationActive
Eastside Vascular Medicine and Surgery, P.C.
NPI 1861676306 · Specialist · Snellville, GA
Eastside Vascular Medicine and Surgery, P.C. is a Specialist organization in Snellville, GA (NPI 1861676306).
Provider details
- NPI number
- 1861676306
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Junaid Mudaliar, President(678) 684-1040
- License
- 050323 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1700 Tree Lane Rd
Suite 460
Snellville, GA 30078-6782
Phone: (678) 684-1040
Fax: (678) 684-1045
Street-level locationGet directions
Mailing address
1700 Tree Lane Rd
Snellville, GA 30078-6782
Registry dates
- Enumerated
- 2007-12-19
- Last updated
- 2007-12-19
Frequently asked questions
- What is Eastside Vascular Medicine and Surgery, P.C.'s NPI number?
- Eastside Vascular Medicine and Surgery, P.C.'s National Provider Identifier (NPI) is 1861676306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastside Vascular Medicine and Surgery, P.C.?
- Eastside Vascular Medicine and Surgery, P.C. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Eastside Vascular Medicine and Surgery, P.C. located?
- Eastside Vascular Medicine and Surgery, P.C.'s practice location on file with NPPES is 1700 Tree Lane Rd, Snellville, GA 30078-6782.
- What is Eastside Vascular Medicine and Surgery, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Eastside Vascular Medicine and Surgery, P.C. is (678) 684-1040.
- Who is the authorized official for Eastside Vascular Medicine and Surgery, P.C.?
- The authorized official listed on Eastside Vascular Medicine and Surgery, P.C.'s NPPES record is Junaid Mudaliar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastside Vascular Medicine and Surgery, P.C.'s NPI active?
- Yes — Eastside Vascular Medicine and Surgery, P.C.'s NPI (1861676306) is active in the NPPES registry as of the last update on 2007-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.