Individual
NOUSHEEN KHETANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(754) 247-4059
Mailing address
2510 LARSON CREEK CV, DULUTH, GA 30097-7417
(404) 547-6898
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
11203
GA
Other
Enumeration date
07/12/2022
Last updated
02/13/2023
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