MEDICARE: DR. ARACHELVI DHANDAYUTHAPANI 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
1	207RN0300X	Nephrology Physician	MD.27736	AL
2	207RN0300X	Nephrology Physician	52166	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861422743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARACHELVI DHANDAYUTHAPANI MD

Provider Business Mailing Address
First Line	:	PO BOX 4596
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31914-0596
Country	:	US
Telephone Number	:	706-660-8050
Fax Number	:	706-256-1030

Provider Business Practice Location Address
First Line	:	713 20TH ST
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-8920
Country	:	US
Telephone Number	:	706-660-8050
Fax Number	:	706-256-1030

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	05/24/2019

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