Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 213E00000X | GA |
NPI | 1083110571 |
---|---|
Provider Name | Shruti Dosi |
First Address | Atlanta, GA 30342-4755 |
Second Address | Atlanta, GA 30342-4755 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2018 |
Last Update Date | 25/08/2021 |