Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215904834 Individual Practitioner Male Practitioner

Dr. Junaid Hussain Mudaliar , MD

Surgery - Vascular Surgery • Atlanta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Junaid Mudaliar, MD is a certified Surgery - Vascular Surgery practicing in Atlanta, GA. With approximately 33 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1993, Dr. Mudaliar delivers high-quality medical care to the local community at 20 GLENLAKE PKWY.

Dr. Mudaliar is affiliated with The Southeast Permanente Medical Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

20 Glenlake Pkwy
Kaiser Permanente Glenlake Medical Center

Atlanta, GA 303283473

Telephone 6786841040
Fax 6786841045
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Atlanta, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +5.8 yrs vs City Avg
City Avg: 27.2 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
42 Specialists

Practicing in Atlanta, GA (194 Statewide)

Telehealth Adoption Rate
28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mudaliar (33 Years) 33 Yrs
Atlanta Specialty Average (27.2 Years) 27.2 Yrs

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License GA 050323

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Specialist

NUCC Taxonomy Code: 174400000X

State License GA 050323

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000913019C (GA)

Hospital & Practice Group Affiliations

The Southeast Permanente Medical Group

3495 Piedmont Rd Ne, Atlanta, GA 303051729

Phone: 4043647206

The Southeast Permanente Medical Group

5665 Peachtree Dunwoody Rd, Atlanta, GA 303421764

Phone: 4043647285

The Southeast Permanente Medical Group

2470 Mount Zion Pkwy, Jonesboro, GA 302362500

Phone: 7705279031

The Southeast Permanente Medical Group

2400 Mount Zion Pkwy, Jonesboro, GA 302362500

Phone: 7706033685

The Southeast Permanente Medical Group

20 Glenlake Pkwy, Atlanta, GA 303283473

Phone: 7706776043

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003820259

Doctor of Medicine (M.D.)

Dr. Alan Weinberg , MD

Psychiatry & Neurology - Psychiatry

NPI 1013001130

Doctor of Medicine (M.D.)

Dr. Eva Riker , MD

Radiology - Diagnostic Radiology

NPI 1023292356

Doctor of Medicine (M.D.)

Dr. Varun Gupta , MD

Plastic Surgery

NPI 1033373527

Doctor of Medicine (M.D.)

Dr. Khalid Shash , MD

Internal Medicine - Cardiovascular Disease

NPI 1043251374

Doctor of Medicine (M.D.)

Dr. Lillian Ivansco , MD, MPH

Radiology - Diagnostic Radiology

NPI 1043478605

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 13, 2022

Registered at 20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER, ATLANTA, GA 303283473 (Tel: 6786841040)

📍
Updated Business Mailing Address January 13, 2022

Registered at 3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 303051717 (Tel: 4043647070)

NPI Profile Active April 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2013

Registered at 20 GLENLAKE PARKWAY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER, ATLANTA, GA 30328 (Tel: 6786841040)

📍
Updated Business Mailing Address April 22, 2013

Registered at 3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305 (Tel: 4043647070)

👤
Provider Name / Credentials Updated April 22, 2013

Recorded as JUNAID MUDALIAR, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2013

Specialist (License #050323 in GA)

🟢
Initial NPI Registration & Enumeration March 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215904834
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2006
Last Update: January 13, 2022
Sole Proprietor: No

Mailing Address

3495 Piedmont Rd Ne, Nine Piedmont Center

Atlanta, GA 303051717

Phone: 4043647070

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.