Provider Demographics
NPI:1053538629
Name:PEETHAMBARAM, APARNA V (MD)
Entity type:Individual
Prefix:DR
First Name:APARNA
Middle Name:V
Last Name:PEETHAMBARAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1815 SATELLITE BLVD
Mailing Address - Street 2:#501
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5237
Mailing Address - Country:US
Mailing Address - Phone:678-496-2600
Mailing Address - Fax:888-226-8819
Practice Address - Street 1:1815 SATELLITE BLVD
Practice Address - Street 2:#501
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-5237
Practice Address - Country:US
Practice Address - Phone:678-496-2600
Practice Address - Fax:888-226-8819
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2022-12-28
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Provider Licenses
StateLicense IDTaxonomies
OH35.089137208000000X
GA59846208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics