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Search › Georgia › 208M00000X

Deepthi Koralla, DO

NPI 1174109078 · on the registry since 2021

Practice

Address
2701 N Decatur Rd
Decatur, GA 30033
Phone
(404) 501-1000
Organisation at this address
Cep America Llc
Aop Associates Llc
Dekalb Pathology Pc
Braaten Neuroscience Llc
Dekalb Medical Psych Unit
Inferred from a shared address, not stated in the registry.
Clinicians at this address
342

Registry record

Primary taxonomy
208M00000X
208M00000X
Also registered as
207R00000X
207R00000X
390200000X
Licence states on file
PA, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia