Individual
MRS. DEEPTHI TIRUNAGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
755 WALTHER RD, LAWRENCEVILLE, GA 30046-8725
(678) 272-3699
(770) 290-8084
Mailing address
755 WALTHER RD, LAWRENCEVILLE, GA 30046-8725
(678) 272-3699
(770) 290-8084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301110745
MI
207RC0000X
Cardiovascular Disease Physician
4301110745
MI
207RC0000X
Cardiovascular Disease Physician
Primary
95348
GA
Other
Enumeration date
09/28/2012
Last updated
09/27/2023
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