Individual
DR. SUNITHA KALYANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 928-6698
Mailing address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 928-6698
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
83313
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83313
GEORGIA COMPOSITE MEDICAL BOARD
GA
Enumeration date
05/22/2007
Last updated
06/25/2019
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