Individual
ANEESHA ANANTHULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6985 MCGINNIS FERRY RD STE 100, DULUTH, GA 30097-1547
(678) 726-6203
(678) 647-7955
Mailing address
5235 WINFLOW WAY, SUWANEE, GA 30024-5333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
322308
LA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
96502
GA
Other
Enumeration date
04/14/2016
Last updated
02/04/2025
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