Individual
AMISHA ATUL KADIWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
Mailing address
1300 SPRUCE ST APT 1A, PHILADELPHIA, PA 19107-6240
(770) 731-9229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
88489
GA
208M00000X
Hospitalist Physician
Primary
88489
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2018
Last updated
09/23/2021
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