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NPI Code Detail

MEDICARE: MRS. HARITHA ARIKATLA MD

MEDICARE:  MRS. HARITHA  ARIKATLA  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
1207R00000XInternal Medicine Physician55723GA
2207Q00000XFamily Medicine Physician055723GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1055723OTHERGALICENSE

General Provider Information

NPI Number : 1255437075
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HARITHA ARIKATLA MD
Provider Business Mailing Address
First Line : 3580 GLENAIREVIEW CT
Second Line :
City : DACULA
State : GA
Zip : 30019-5405
Country : US
Telephone Number : 678-591-6643
Fax Number :
Provider Business Practice Location Address
First Line : 1515 RIVER PL
Second Line : SUIT 200
City : BRASELTON
State : GA
Zip : 30517-5602
Country : US
Telephone Number : 770-848-6140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 02/02/2021

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Directions to “ MRS. HARITHA ARIKATLA MD” Practice Location

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