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Individual
KENI GU
Active
Individual
KENI GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
062213
GA
207ZH0000X
Hematology (Pathology) Physician
83671
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
062213
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
83671
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334298477A
—
GA
05
—
G62213
—
GA
Enumeration date
05/03/2007
Last updated
11/08/2021
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