Dr. Mamatha Gavini

M.D. | Pediatrics | Female

Dr. Mamatha Gavini, M.D. is a Atlanta, Georgia based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Mamatha Gavini is 20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Office, Atlanta, Georgia - 30328-3473. She can be contacted on phone at 770-677-6037. Dr. Mamatha Gavini is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Mamatha Gavini is 1316073695 which was assigned by NPPES on 23 Feb, 2007 and it was last updated on 07 Jan, 2022. Dr. Mamatha Gavini license number is 054888 for Pediatrics (208000000X) in Georgia.
Dr. Mamatha Gavini is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Mamatha Gavini basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Mamatha Gavini
Credential :M.D.
Gender :Female
Business Address:
Dr. Mamatha Gavini address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Office
Atlanta, GA, 30328-3473
United States
Phone Number :770-677-6037
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1316073695
NPI Entity Type : Individual
First Enrolment Date : 23 Feb, 2007
Last Updated On : 07 Jan, 2022
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mamatha Gavini are as mentioned. Primary taxonomy code for Dr. Mamatha Gavini, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
174400000XSpecialistNo054888GA
208000000XPediatricsYes054888GA
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
SOAP
(SOAP URL)
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq

Carequality
HIE
Health Information Exchange (HIE)
OTHER
Other
C-CDA
750 TOWNPARK LN NW,
KENNESAW, GA, 30144-5579
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :3495 Piedmont Rd Ne, Nine Piedmont Center
Atlanta, GA, 30305-1717
United States
Phone Number :404-364-7070
Business Location:
Patients can refer following map for directions to Dr. Mamatha Gavini practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.