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General NPI Number Information
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NPI Number | 1114045770
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Entity Type | Organization
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Legal Business Name | VAISHALI B KUTE, MD LLC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 3155 N POINT PKWY BUILDING D SUITE 200
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City | ALPHARETTA
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State | GA
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Zip | 30005-5481
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Country | US
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Telephone | 770-667-6967
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Fax |
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Provider Business Mailing Address
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Address Line | 3155 N POINT PKWY BUILDING D SUITE 200
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City | ALPHARETTA
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State | GA
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Zip | 30005-5481
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Country | US
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Telephone | 770-667-6967
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VAISHALI B KUTE
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Credential | MD
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Telephone | 770-667-6967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 045526
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License Number State | GA
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