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Individual

ANANT G DALVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 WHITCHER ST NE, MARIETTA, GA 30060-1155
(770) 422-1372
(770) 423-9651
Mailing address
55 WHITCHER ST NE, SUITE 160, MARIETTA, GA 30060-1155
(770) 422-1372
(770) 423-9651

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
42431
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
63849
GA
207RP1001X
Pulmonary Disease Physician
42431
TN
207RP1001X
Pulmonary Disease Physician
Primary
63849
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000226409
UNISON
TN
05
3000479
TN
01
4163443
BCBS
TN
01
42392
TLC
TN
Enumeration date
08/06/2007
Last updated
11/05/2019
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