Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastside Vascular Medicine and Surgery, PC

Organization Specialist · NPI 1861676306

Eastside Vascular Medicine and Surgery, PC is a Specialist in Snellville, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 Tree Lane Rd Ste 460
Snellville, GA 30078-6782
Phone: (678) 684-1040
Fax: (678) 684-1045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 050323 (GA)

Record details

NPI number1861676306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Junaid Mudaliar — President · (678) 684-1040
NPI enumeratedDecember 19, 2007
Last updated in NPPESDecember 19, 2007
Mailing address1700 Tree Lane Rd, Suite 460, Snellville, GA 30078-6782

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