Individual
RUPA NARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 CLIFTON RD NE, ATLANTA, GA 30329-4018
(419) 573-4544
Mailing address
1600 CLIFTON RD NE, ATLANTA, GA 30329-4018
(419) 573-4544
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
46960
CO
208000000X
Pediatrics Physician
Primary
A122550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48678830
—
CO
Enumeration date
01/30/2007
Last updated
06/16/2018
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