Individual
SAMYUKTA CHAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(470) 267-1760
(470) 986-7002
Mailing address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(470) 267-1760
(470) 986-7002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101243034
VA
207RG0100X
Gastroenterology Physician
01084564A
IN
207RG0100X
Gastroenterology Physician
Primary
64910
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467622779
—
VA
Enumeration date
03/04/2008
Last updated
08/17/2022
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