Individual
DR. VATSALYA KOSURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 955-6719
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
009015
GA
207RN0300X
Nephrology Physician
Primary
85691
GA
Other
Enumeration date
05/23/2017
Last updated
06/12/2023
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