Individual
KISHOR BHURABHAI SADARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-7750
(770) 793-7755
Mailing address
3169 CAPRIOLE DR NE, MARIETTA, GA 30062-0300
(678) 764-5419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
063607
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255528949
—
AL
Enumeration date
07/27/2007
Last updated
12/18/2023
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