Individual
KRISHNA CHAITANYA THANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NORTHEAST GEORGIA PHYSICIANS GROUP, 743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
88312
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2002-1833
NM
207RP1001X
Pulmonary Disease Physician
0101264055
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942512777
—
WI
Enumeration date
07/09/2010
Last updated
03/17/2023
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