Barath Prashanth Sivasubramanian
Barath Prashanth Sivasubramanian is an Internal Medicine Physician in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2024.
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
743 Spring St NE Rear 710Gainesville, GA 30501-3899
Phone: (770) 219-8730
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 16578 (GA) |
|---|
Record details
| NPI number | 1245071752 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 6, 2024 |
| Last updated in NPPES | June 26, 2024 |
| Certification date | June 26, 2024 |
| Mailing address | 743 Spring St Ne Rear 710, Gainesville, GA 30501-3899 |
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