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NPI 1215000989

NPI 1215000989 : HARITHA PABBATHI MD : GRIFFIN, GA

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General NPI Number Information
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    NPI Number           |    1215000989
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    Entity Type          |    Individual 
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    Provider Name        |    HARITHA PABBATHI MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/17/2006
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    Last Update Date     |    06/10/2025
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Provider Practice Location Address
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    Address Line         |    619 S 8TH ST STE 301 
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    City                 |    GRIFFIN
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    State                |    GA
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    Zip                  |    30224-4260
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    Country              |    US
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    Telephone            |    470-267-1970
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    619 S 8TH ST STE 301 
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    City                 |    GRIFFIN
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    State                |    GA
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    Zip                  |    30224-4260
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    Country              |    US
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    Telephone            |    470-267-1970
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RH0000X
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    Taxonomy Name        |    Hematology (Internal Medicine) Physician
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    License Number       |    MD61396150
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    333029
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    License Number State |    LA
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Taxonomy #3
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    MD482881
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    License Number State |    PA
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Taxonomy #4
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    64236
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    License Number State |    GA
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Taxonomy #5
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    Taxonomy Code        |    207RX0202X
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    Taxonomy Name        |    Medical Oncology Physician
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    License Number       |    MD61396150
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    License Number State |    WA
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Taxonomy #6
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    064236
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    License Number State |    GA
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