Healthcare Provider Details
I. General information
NPI: 1114847571
Provider Name (Legal Business Name): GAAPS OF ATLANTA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3087 BRINDALE DR
DULUTH GA
30097-2659
US
IV. Provider business mailing address
3087 BRINDALE DR
DULUTH GA
30097-2659
US
V. Phone/Fax
- Phone: 937-750-3962
- Fax:
- Phone: 937-750-3962
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RAVI
KIRAN
GRANDHI
Title or Position: OWNER
Credential: MD
Phone: 937-750-3962