Dantuluri, Phani K.
Dantuluri, Phani K. is an individual health care provider with primary practice located at 550 Peachtree St Ne 19Th Floor, Atlanta GA 30308-2208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Dantuluri, Phani K. can be contacted via phone (404) 215-2000.Contact Information
Primary practice address
550 Peachtree St Ne 19Th Floor
Atlanta GA 30308-2208
Phone: (404) 215-2000
Fax: (404) 215-2001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 063646 | Georgia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 063646 | Georgia |
Profile Details
| NPI number | 1093751133 |
|---|---|
| LBN Legal business name | Dantuluri, Phani K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | May 1st, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093751133 | NPPES |
| Georgia | MEDICAID | 269972941A | |
| Georgia | MEDICAID | 269972941C | |
| Georgia | MEDICAID | 269972941D | |
| Georgia | MEDICAID | 269972941E |
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