Organization
MY ONLINE DOCTOR'S VISIT LLC
Active
Other names
MyODV
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINGANE BARUTI MD (CEO)
(866) 448-8319
Entity
Organization
Contact information
Practice address
5651 TUXEDO DR, DOUGLASVILLE, GA 30135-7526
(678) 444-8780
Mailing address
1870 THE EXCHANGE SE STE 200-44, ATLANTA, GA 30339-2036
(866) 448-8319
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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