License holder summary

BAKTHAVACHALAM, SIVASANKER, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BAKTHAVACHALAM, SIVASANKER, MD is 5455 MERIDIAN MARK RD STE. 130, Atlanta 30342. This doctor license is current. The license was granted 02/05/2009 and expired on 01/31/2017.

Georgia

Composite Medical Board

BAKTHAVACHALAM, SIVASANKER, MD
Medical - Physician
License number
062182
Date granted
02/05/2009
Date expires
01/31/2017
Class
Medical - Physician
Status
Active
Address
5455 MERIDIAN MARK RD STE. 130
georgiadoctors.net
ID 38026382
LAST UPDATED 2026-04-15 20:27:52 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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