Individual
UTHAN VIVEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2685 PEACHTREE PKWY STE 320, SUWANEE, GA 30024-1048
(770) 771-5260
(770) 771-5269
Mailing address
2685 PEACHTREE PKWY STE 320, SUWANEE, GA 30024-1048
(770) 771-5260
(770) 771-5269
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
58235
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261273210B
—
GA
Enumeration date
08/09/2006
Last updated
08/19/2021
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