Devineni, Gayathri K

Devineni, Gayathri K is an sole proprietor health care provider with primary practice located at 135 Vann St Ne , Marietta GA 30060-7249. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Devineni, Gayathri K can be contacted via phone (678) 829-6030.

Contact Information

Primary practice address
135 Vann St Ne Marietta GA 30060-7249
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 061573 Georgia

Profile Details

NPI number 1619154184
LBN Legal business name Devineni, Gayathri K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2008
Last updated Oct 26th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619154184 NPPES
Georgia Other 1710428305 NPI TYPE II
Georgia MEDICAID 709382690A NPI TYPE II

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