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Individual

MRS. BEENA R PARBHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3747 ROSWELL RD STE 201, MARIETTA, GA 30062-6227
(770) 578-2868
(770) 971-8499
Mailing address
6095 PROFESSIONAL PKWY STE 100, DOUGLASVILLE, GA 30134-5607
(770) 920-2255
(770) 920-9963

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
41601
KY
208000000X
Pediatrics Physician
Primary
67713
GA
208000000X
Pediatrics Physician
ME104615
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003128452A
GA
05
003128452AC
GA
05
200907860
IN
05
7100047720
KY
01
ME 104615
MEDICAL STATE LICENSE
FL
Enumeration date
02/21/2007
Last updated
10/31/2019
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