Individual
DR. KEERTI KANTILAL BHANUSHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-5795
(706) 774-5792
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
073734
GA
207RN0300X
Nephrology Physician
Primary
73734
GA
208M00000X
Hospitalist Physician
73734
GA
Other
Enumeration date
09/15/2010
Last updated
07/30/2024
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