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Individual

CHITURU ADELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
483 UPPER RIVERDALE RD SW, SUITE C, RIVERDALE, GA 30274-2584
(770) 907-0029
(770) 907-9183
Mailing address
483 UPPER RIVERDALE RD SW, SUITE C, RIVERDALE, GA 30274-2584
(770) 907-0029
(770) 907-9183

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
043520
GA
207RI0011X
Interventional Cardiology Physician
Primary
043520
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007500318D
GA
05
00750318A
GA
Enumeration date
05/30/2006
Last updated
09/23/2020
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