Individual
AYESHA PATEL KHANDURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
677 CHURCH ST NE LOWR LEVEL, MARIETTA, GA 30060-1101
(770) 793-5186
Mailing address
677 CHURCH ST NE LOWR LEVEL, MARIETTA, GA 30060-1101
(770) 793-5186
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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