MEDICARE: DR. ANJELI G LAUNGANI M.D.

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
1	207N00000X	Dermatology Physician	062543	GA

General Provider Information

NPI Number	:	1649368440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANJELI G LAUNGANI M.D.

Provider Business Mailing Address
First Line	:	3280 HOWELL MILL RD NW STE 211
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4100
Country	:	US
Telephone Number	:	404-351-7546
Fax Number	:	404-351-2993

Provider Business Practice Location Address
First Line	:	3280 HOWELL MILL RD NW STE 211
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4100
Country	:	US
Telephone Number	:	404-351-7546
Fax Number	:	404-351-2993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	09/23/2021

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