Individual
DR. USHA ANAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-7750
Mailing address
910 ECTOR CHASE NW, KENNESAW, GA 30152-4793
(770) 769-8980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
058435
GA
207R00000X
Internal Medicine Physician
34896
IA
208M00000X
Hospitalist Physician
Primary
058435
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290700
—
IA
01
—
34715
BLUE SHIELD
IA
Enumeration date
06/20/2006
Last updated
09/30/2019
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