Individual
DR. KUSHAN RADADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11660 ALPHARETTA HWY STE 700, ROSWELL, GA 30076-4956
(678) 839-9973
(470) 427-2013
Mailing address
1551 JANMAR RD, SNELLVILLE, GA 30078-5606
(678) 344-8900
(678) 691-0506
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
84991
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84991
GA MEDICAL LICENSE
GA
Enumeration date
07/02/2014
Last updated
04/30/2024
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