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Individual

KOTA VENKATESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3905 JOHNS CREEK CT, SUITE 200, SUWANEE, GA 30024-1224
(770) 495-0799
(770) 495-0783
Mailing address
3905 JOHNS CREEK CT, SUITE 200, SUWANEE, GA 30024-1224
(770) 495-0799
(770) 495-0783

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
062621
GA

Other

Enumeration date
08/09/2007
Last updated
06/26/2023
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