Individual
DR. ARCHANA KOGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
780 CANTON RD NE STE 400, MARIETTA, GA 30060
(770) 422-3602
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
042075
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000905297E
—
GA
Enumeration date
09/26/2006
Last updated
11/05/2019
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