Individual
DR. KISHORE VEDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2174 N DRUID HILLS RD NE, ATLANTA, GA 30329-3102
(404) 785-8218
(404) 785-4750
Mailing address
3333 BURNET AVE # MLC5018, CINCINNATI, OH 45229-3026
(513) 636-4315
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
100716
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
10/15/2024
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