Individual
GEETANJALI VASANDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4424 HUGH HOWELL RD STE D, TUCKER, GA 30084-4905
(404) 692-4466
Mailing address
4424 HUGH HOWELL RD STE D, TUCKER, GA 30084-4905
(404) 756-1400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43297
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000742464E
—
GA
Enumeration date
07/29/2005
Last updated
03/14/2023
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