Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 069301 | GA |
NPI | 1144535097 |
---|---|
Provider Name | Danesh K Kella |
First Address | Atlanta, GA 30339-6151 |
Second Address | Atlanta, GA 30309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2010 |
Last Update Date | 01/08/2018 |