Individual
DR. HIMA B. EDUPUGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2850 PACES FERRY RD SE, SUITE 460, ATLANTA, GA 30339-5719
(678) 556-4950
(678) 556-4951
Mailing address
2850 PACES FERRY RD SE, SUITE 460, ATLANTA, GA 30339-5719
(678) 556-4950
(678) 556-4951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64027
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100359A
—
GA
Enumeration date
06/16/2006
Last updated
04/21/2015
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