Individual
DR. KIREN MITRUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
119 TERRACE DR, ATLANTA, GA 30305
(404) 647-3494
Mailing address
119 TERRACE DR, ATLANTA, GA 30305
(404) 647-3494
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
062141
GA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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