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NPI Code Detail

MEDICARE: DR. ADITI N THIRU MD

MEDICARE: DR. ADITI N THIRU MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMS

General Provider Information

NPI Number : 1558293050
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADITI N THIRU MD
Provider Business Mailing Address
First Line : 11350 CLANGOR CT
Second Line :
City : JOHNS CREEK
State : GA
Zip : 30097-2506
Country : US
Telephone Number : 404-825-9815
Fax Number :
Provider Business Practice Location Address
First Line : 2500 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39216-4500
Country : US
Telephone Number : 601-984-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ DR. ADITI N THIRU MD” Practice Location

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