Organization
MEDHUB
Active
Organization
MEDHUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDRANATH NALLAMOTHU MD (CEO)
(770) 675-6025
Entity
Organization
Contact information
Practice address
3203 S CHEROKEE LN STE 220, WOODSTOCK, GA 30188-4461
(770) 675-6025
(770) 676-7814
Mailing address
3203 S CHEROKEE LN STE 220, WOODSTOCK, GA 30188-4461
(770) 675-6025
(770) 676-7814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
12/08/2025
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