Individual
MOHANA LAASYA CHERUKURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2470 DANIELLS BRIDGE RD STE 231, ATHENS, GA 30606-6188
(706) 769-3362
(706) 769-5675
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
(706) 389-3951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
98867
GA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
98867
GA
Other
Enumeration date
03/22/2021
Last updated
03/04/2026
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