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NPI Code Detail

MEDICARE: KRISHNA KANTH GALI MD

MEDICARE:   KRISHNA KANTH GALI  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
1208M00000XHospitalist Physician2019-00294NC
2207R00000XInternal Medicine Physician102026GA

General Provider Information

NPI Number : 1740601566
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISHNA KANTH GALI MD
Provider Business Mailing Address
First Line : PO BOX 742322
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2322
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 747 S 8TH ST STE B
Second Line :
City : GRIFFIN
State : GA
Zip : 30224-4884
Country : US
Telephone Number : 470-604-8250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2013
Last Update Date : 01/18/2025

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Directions to “ KRISHNA KANTH GALI MD” Practice Location

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