ENDOCRINE & DIABETES CONSULTANTS PC NPI 1104884220

NPI Information

  • NPI: 1104884220
  • Provider Name: ENDOCRINE & DIABETES CONSULTANTS, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Former Legal Business Name: SUBRA K. NAIDU, MD, PC
  • Address: 226 WILLIS DR
    STOCKBRIDGE, GA
    ZIP 30281
  • Phone: (770) 389-0200

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NPI Details

ENDOCRINE & DIABETES CONSULTANTS, PC is a specialist in Stockbridge, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ENDOCRINE & DIABETES CONSULTANTS, PC NPI is 1104884220. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Subra K. Naidu, Md, Pc.

The provider's business location address is:

226 WILLIS DR
STOCKBRIDGE, GA
ZIP 30281-272
Phone: (770) 389-0200
Fax: (770) 474-1570

The provider's authorized official is Shyama K Naidu .
The authorized official title is Administrator and has the following contact phone number (770) 389-0200.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 2/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP549MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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