Individual
JITHENDRANATH PALACHERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1567 JANMAR ROAD, SUITE 100, SNELLVILLE, GA 30078
(770) 972-1022
Mailing address
1567 JANMAR ROAD, SUITE 100, SNELLVILLE, GA 30078
(770) 972-1022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
059304
GA
207R00000X
Internal Medicine Physician
M0853
TX
207RN0300X
Nephrology Physician
059304
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R9118
BLUE SHIELD
TX
Enumeration date
06/04/2006
Last updated
10/13/2020
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