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Individual

DR. AKSHAY SHARAD BEDMUTHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-6342
(404) 778-9729
Mailing address
220 PONCE DE LEON PL UNIT 376, DECATUR, GA 30030-3249
(917) 969-1969

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
100734
GA
390200000X
Student in an Organized Health Care Education/Training Program
100734
GA

Other

Enumeration date
07/17/2023
Last updated
12/17/2024
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