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Individual

DR. MALATHI VENKATESAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1845 SATELLITE BLVD, SUITE 500, DULUTH, GA 30097-5256
(404) 778-5220
(404) 778-6451
Mailing address
1845 SATELLITE BLVD, SUITE 500, DULUTH, GA 30097-5256
(404) 778-5220
(404) 778-6451

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD67038
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001518398
HIGHMARK
05
01585449
PA
01
043771728
HEALTH AMERICA
01
14517
ELDER HEALTH
01
145688
UNISON
01
1536140
GATEWAY
01
1784451
UNITED HEALTHCARE
01
200195
UPMC
01
3359545
AETNA
01
6709237003
CIGNA
Enumeration date
08/11/2006
Last updated
08/29/2014
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