Individual
MEGHANA BHATTA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 MILSTEAD RD NE, CONYERS, GA 30012-3838
(140) 454-5234
Mailing address
163 PARK DR, DECATUR, GA 30030-4482
(404) 545-2345
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
82537
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2014
Last updated
06/29/2020
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