Individual
DILINI M DASWATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA 30046
(404) 645-7150
(678) 990-5259
Mailing address
1365 CLIFTON RD NE STE 6100, ATLANTA, GA 30322-0001
(404) 727-9934
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019583
MI
207RN0300X
Nephrology Physician
Primary
78010
GA
208M00000X
Hospitalist Physician
5101019583
MI
Other
Enumeration date
07/20/2011
Last updated
07/24/2018
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