1. Home
  2. Directory
  3. Georgia
  4. Snellville
  5. Specialist
  6. NPI Profile

EASTSIDE VASCULAR MEDICINE AND SURGERY, P.C.
NPI 1861676306
Specialist in Snellville, GA

Active since December 19, 2007
1700 TREE LANE RD, SUITE 460, SNELLVILLE, GA 30078(678) 684-1040(678) 684-1045 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastside Vascular Medicine And Surgery, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTSIDE VASCULAR MEDICINE AND SURGERY, P.C. (NPI 1861676306) is a healthcare organization registered as a specialist in Snellville, Georgia and active in the NPI registry since December 2007. The organization lists Junaid Hussain Mudaliar, President, as its authorized official.

NPPES Registry Identity

NPI1861676306
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEASTSIDE VASCULAR MEDICINE AND SURGERY, P.C.
Location Address1700 TREE LANE RD, SUITE 460Snellville, GA 30078-6782
Mailing Address1700 Tree Lane Rd, Suite 460Snellville, GA 30078-6782 · (678) 684-1040 · Fax (678) 684-1045
Phone(678) 684-1040
Fax(678) 684-1045
Organization SubpartNo
Authorized OfficialJunaid Hussain MudaliarPresident · (678) 684-1040
Enumeration DateDecember 19, 2007
✔ NPI 1861676306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 050323
Definition
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.
1700 TREE LANE RD, Snellville, GA 30078
Open in Google Maps ↗

Other Identifiers 1

Medicare PINGRP7073GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY LEONARD WALKER M.D.
Obstetrics & Gynecology
1700 TREE LANE RD, SUITE 290
SNELLVILLE, GA 30078
Gwinnett County (770) 972-0330
GEORGIA OPHTHALMOLOGY ASSOC PC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1700 TREE LANE RD, SUITE 135
SNELLVILLE, GA 30078
Gwinnett County (404) 298-5557
THOMAS M MAHON MD
Pediatrics
1700 TREE LANE RD, STE 110
SNELLVILLE, GA 30078
Gwinnett County (770) 972-0860
LIZA TANGHAL PA C
Physician Assistant (Medical)
1700 TREE LANE RD, STE 320
SNELLVILLE, GA 30078
Gwinnett County (770) 985-6233
GWINNETT OB-GYN ASSOCIATES, P.C..
Obstetrics & Gynecology (Obstetrics)
1700 TREE LANE RD, SUITE 290
SNELLVILLE, GA 30078
Gwinnett County (770) 972-0330
R ARNOLD ISLEY MD
Pediatrics
1700 TREE LANE RD, STE 110
SNELLVILLE, GA 30078
Gwinnett County (770) 972-0860
DR. HALEH P. HAMIDI M.D.
Obstetrics & Gynecology
1700 TREE LANE RD, SUITE 290
SNELLVILLE, GA 30078
Gwinnett County (770) 972-0330
DR. THOMAS A. GRILLO M.D.
Obstetrics & Gynecology (Obstetrics)
1700 TREE LANE RD, SUITE 230
SNELLVILLE, GA 30078
Gwinnett County (770) 979-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastside Vascular Medicine And Surgery, P.C.'s NPI number?

The NPI number for Eastside Vascular Medicine And Surgery, P.C. is 1861676306. It was assigned to this organization in the NPPES registry on December 19, 2007.

Where is Eastside Vascular Medicine And Surgery, P.C. located?

Eastside Vascular Medicine And Surgery, P.C. is located at 1700 Tree Lane Rd Suite 460, Snellville, GA 30078. The listed phone number is (678) 684-1040.

What is Eastside Vascular Medicine And Surgery, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Eastside Vascular Medicine And Surgery, P.C. was last updated on December 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.