Individual
MEERA BRAHMBHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
835 COGBURN AVENUE, SUITE 100, MARIETTA, GA 30060-1008
(770) 442-5557
(770) 422-5456
Mailing address
835 COGBURN AVNUE, SUITE 250, MARIETTA, GA 30060-1010
(770) 442-8815
(770) 422-8816
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
93556
GA
207ND0900X
Dermatopathology Physician
Primary
93556
GA
207ZD0900X
Dermatopathology (Pathology) Physician
93556
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
93556
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2017
Last updated
10/31/2022
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