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Individual
DR. DEEPTHI KORALLA
Active
Individual
DR. DEEPTHI KORALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
101075
GA
207R00000X
Internal Medicine Physician
OT020792
PA
208M00000X
Hospitalist Physician
Primary
101075
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
10/24/2024
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