Individual
MANILA GADDH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE, SUITE C 1152, ATLANTA, GA 30322-1013
(404) 778-5871
(404) 778-4755
Mailing address
1365 CLIFTON RD NE, SUITE C 1152, ATLANTA, GA 30322-1013
(404) 778-5871
(404) 778-4755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.122544
IL
207RH0000X
Hematology (Internal Medicine) Physician
Primary
67418
GA
Other
Enumeration date
01/18/2009
Last updated
05/30/2012
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