Individual
RADHIKA CHENUMOLU RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2850 PACES FERRY RD SE, SUITE 460, ATLANTA, GA 30339-5719
(678) 556-4950
(678) 556-4951
Mailing address
2850 PACES FERRY RD SE STE 460-470, ATLANTA, GA 30339-5719
(678) 556-4950
(678) 556-4951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
053392
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836680261A
—
GA
Enumeration date
01/30/2006
Last updated
09/26/2019
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