Individual
ANITA MADHAVARAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-1000
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-1000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
1245171
GA
363A00000X
Physician Assistant
Primary
14007
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/30/2024
Last updated
06/08/2026
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