Individual
DR. AYSHA INANKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 TIMMS RD NE, CALHOUN, GA 30701
(706) 879-5820
(706) 879-5821
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
075007
GA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2012-01895
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003175900A
—
GA
01
—
17627
BCBS NC
NC
05
—
2969677
—
OH
01
—
GRP4720
GRP #
GA
01
—
P01420250
RR MEDICARE
NC
Enumeration date
05/03/2007
Last updated
12/17/2018
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