Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 88005 | GA |
NPI | 1003346248 |
---|---|
Provider Name | Dr. Anushka Magal |
First Address | Atlanta, GA 30342-1513 |
Second Address | Marietta, GA 30068-4396 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2017 |
Last Update Date | 24/08/2021 |