Individual
RUNA HATTI GOKHALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 HOSPITAL RD, CANTON, GA 30114-2408
(770) 720-5100
Mailing address
925 N POINT PKWY, STE 160, ALPHARETTA, GA 30005-5210
(678) 636-4404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
064943
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649457029
NPI
GA
Enumeration date
09/13/2011
Last updated
09/13/2011
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