NPI age
18 years
Enumerated 2007-12-19
● Active Type 2 · Organization
Eastside Vascular Medicine And Surgery, P.c.
Eastside Vascular Medicine And Surgery, P.c. is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mudaliar
President
Last NPPES update
2007-12-19
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1700 Tree Lane Rd, Suite 460
Snellville, GA 300786782
Mailing address
1700 Tree Lane Rd, Suite 460
Snellville, GA 300786782
Authorized official
Junaid Hussain Mudaliar, M.D.
President
📞 6786841040
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Olaitan Adeniji, MD Internal Medicine NPI 1255321089
- Rose Badaruddin, M.D. Pediatrics NPI 1528017332
- Laura Bono, RNC, WHNP Nurse Practitioner NPI 1962795310
- Mary Campbell, M.D. Obstetrics & Gynecology NPI 1801888516
- Mary Cox, MD Pediatrics NPI 1760426456
- Javad Deganian, MD Pediatrics NPI 1366491235
- Josephine Dunagan, MD Pediatrics NPI 1831148782
- Nahed Elgammal, M.D. Obstetrics & Gynecology NPI 1245222199
- Sabrina Falkner, M.D. Obstetrics & Gynecology NPI 1346288271
- Thomas Fotion, MD Pediatrics NPI 1407890197
- Dorian Freeman, RNC, WHNP Nurse Practitioner NPI 1568414837
- Thomas Grillo, M.D. Obstetrics & Gynecology NPI 1235171380
- Nancy Griner, M.D. Specialist NPI 1932101102
- William Haberstroh, D.O. Obstetrics & Gynecology NPI 1710925789
- Haleh Hamidi, M.D. Obstetrics & Gynecology NPI 1215929161
- A. Harrison, M.D. Obstetrics & Gynecology NPI 1407898414
- Kimberly Huynh, MD Obstetrics & Gynecology NPI 1255517595
- R Isley, MD Pediatrics NPI 1205886587
- Traci Johnson, M.D. Obstetrics & Gynecology NPI 1255323960
- Millie Kelley, M.A., CCC-A Audiologist NPI 1568636363
Specialties
-
Specialist PrimaryAn 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.
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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