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Organization

KIDS CHOICE PEDIATRICS,LLC

Active
Other names
Venkateswara Rao Dikkala, M.D.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VENKATESWARA RAO DIKKALA M.D. (MEMBER)
(678) 380-9199
Entity
Organization

Contact information

Practice address
2775 CRUSE RD, SUITE 1801, LAWRENCEVILLE, GA 30044-7140
(678) 380-9199
(770) 935-0199
Mailing address
2775 CRUSE RD, SUITE 1801, LAWRENCEVILLE, GA 30044-7140
(678) 380-9199
(770) 935-0199

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
048226
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023076387
INDIVIDUAL NPI NUMBER
GA
Enumeration date
04/23/2007
Last updated
08/22/2020
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