Individual
DR. INDIRA CHERVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 WHITCHER ST NE, STE 460, MARIETTA, GA 30060-1171
(770) 427-7389
(770) 427-2845
Mailing address
55 WHITCHER ST NE, STE 460, MARIETTA, GA 30060-1171
(770) 427-7389
(770) 427-2845
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
040032
GA
207RN0300X
Nephrology Physician
Primary
GA040032
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000665706B
—
GA
05
—
000665706C
—
GA
05
—
000665706D
—
GA
05
—
000665706E
—
GA
05
—
000665706G
—
GA
05
—
000665706H
—
GA
05
—
000665706I
—
GA
05
—
000665706J
—
GA
05
—
000665706K
—
GA
05
—
000665706L
—
GA
05
—
000665706N
—
GA
05
—
000665706O
—
GA
05
—
000665706Q
—
GA
05
—
000665706R
—
GA
05
—
000665706T
—
GA
05
—
00665706A
—
GA
Enumeration date
06/10/2005
Last updated
08/01/2019
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