Individual
KAAVYA CHIVUKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
771 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4386
(770) 442-1911
(770) 407-2059
Mailing address
771 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4386
(770) 442-1911
(770) 407-2059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
86542
GA
Other
Enumeration date
05/15/2017
Last updated
02/09/2021
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