Provider Demographics
NPI:1699969949
Name:DEVARAJU, MADHAVI (MD)
Entity type:Individual
Prefix:DR
First Name:MADHAVI
Middle Name:
Last Name:DEVARAJU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2700 ABBEY CT
Mailing Address - Street 2:THE OFFICES @ CRABAPPLE VILLAGE
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-6024
Mailing Address - Country:US
Mailing Address - Phone:770-772-4233
Mailing Address - Fax:770-772-4872
Practice Address - Street 1:2700 ABBEY CT
Practice Address - Street 2:THE OFFICES @ CRABAPPLE VILLAGE
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-6024
Practice Address - Country:US
Practice Address - Phone:770-772-4233
Practice Address - Fax:770-772-4872
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2013-07-23
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Provider Licenses
StateLicense IDTaxonomies
GA058737207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine