Individual
AKHIL VALLABHANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD STE 130, CANTON, GA 30115-8017
(678) 493-2527
(678) 493-5608
Mailing address
460 NORTHSIDE CHEROKEE BLVD STE 130, CANTON, GA 30115-8017
(678) 493-2527
(678) 493-5608
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
076513
GA
207RP1001X
Pulmonary Disease Physician
MD153603
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500633229
—
OR
Enumeration date
02/07/2008
Last updated
04/26/2021
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