Individual
NIRISHA COMMODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-1371
Mailing address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-7777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
101584
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2021
Last updated
01/23/2025
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