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NPI Code Detail

MEDICARE: SMITHA PIDIKITI

MEDICARE: SMITHA PIDIKITI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist Assistant
2367H00000XAnesthesiologist Assistant9023GA

General Provider Information

NPI Number : 1316428568
Entity Type Code : Individual
Provider Name (Legal Business Name) : SMITHA PIDIKITI
Provider Business Mailing Address
First Line : 751 PIEDMONT AVE NE APT 11
Second Line :
City : ATLANTA
State : GA
Zip : 30308-1472
Country : US
Telephone Number : 901-238-5196
Fax Number :
Provider Business Practice Location Address
First Line : 5671 PEACHTREE DUNWOODY RD STE 610
Second Line :
City : ATLANTA
State : GA
Zip : 30342-5013
Country : US
Telephone Number : 901-238-5196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2018
Last Update Date : 06/15/2023

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Directions to “ SMITHA PIDIKITI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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