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Individual

MALATHI KOLIPAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3400 OLD MILTON PKWY # C, SUITE 270, ALPHARETTA, GA 30005-3707
(770) 442-1911
(770) 663-8905
Mailing address
3400 OLD MILTON PKWY STE C270, SUITE 270, ALPHARETTA, GA 30005-4414
(770) 442-1911
(770) 663-8905

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RL10821
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12083
ND
Enumeration date
05/02/2008
Last updated
02/21/2013
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