Individual
AKHILA KOTHAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
833 CAMPBELL HILL ST NW STE 400, MARIETTA, GA 30060-1147
(770) 528-0260
(770) 528-0269
Mailing address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
82633
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2014
Last updated
08/11/2022
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