Individual
GUNJAN KELOTRA-JINDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3747 ROSWELL RD STE 311, MARIETTA, GA 30062
(770) 644-1274
(770) 644-1119
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
048529
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000897025A
—
GA
01
—
323428
WELLCARE
GA
Enumeration date
10/02/2006
Last updated
10/29/2019
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