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Individual

ASHA BHOOMKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
99 JESSE HILL JR DR, ATLANTA, GA 30303
(404) 730-1412
(404) 730-1499
Mailing address
789 HOUSTON MILL ROAD, #3, ATLANTA, GA 30329-4228
(404) 633-8139

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
033909
GA

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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