Individual
DR. NEETA DATTOBA SUKTHANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, INPATIENT MEDICAL GROUP, LAWRENCEVILLE, GA 30046-7694
(678) 312-3273
(678) 312-3282
Mailing address
PO BOX 1170, LAWRENCEVILLE, GA 30046-1170
(470) 325-0159
(470) 325-0191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
049208
GA
208M00000X
Hospitalist Physician
Primary
049208
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000897938E
—
GA
Enumeration date
06/24/2006
Last updated
02/24/2021
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