Individual
NIKHITA ANANTHULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 KENNESTONE HOSPITAL BLVD, MARIETTA, GA 30060
(770) 793-7899
Mailing address
310 KENNESTONE HOSPITAL BLVD, MARIETTA, GA 30060-1120
(770) 793-7899
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
0116031644
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
83374
GA
Other
Enumeration date
04/22/2015
Last updated
10/10/2019
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