Individual
VISHWANATH RAJU DANTHULURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
371 E PACES FERRY RD NE STE 750, ATLANTA, GA 30305-2372
(470) 419-4380
(470) 298-7736
Mailing address
2110 POWERS FERRY RD SE STE 302, ATLANTA, GA 30339-5015
(470) 419-4380
(470) 298-7736
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
76809
GA
208600000X
Surgery Physician
R4825
TX
Other
Enumeration date
04/08/2013
Last updated
09/19/2022
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