Individual
DR. ANANTH MOTHUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(470) 644-1274
(470) 644-1119
Mailing address
776 E PROVIDENCE RD APT D111, ALDAN, PA 19018-4342
(217) 361-6005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
270144
NY
207L00000X
Anesthesiology Physician
Primary
96863
GA
Other
Enumeration date
08/26/2009
Last updated
12/14/2023
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