Search › Georgia › 207R00000X
Andrea Khairunisa
NPI 1811686611 · on the registry since 2023
Practice
- Address
- 80 Jesse Hill Jr Dr Se
Atlanta, GA 30303 - Phone
- (404) 616-1000
- Organisation at this address
- Grady Hospital
One Grady, Llc
Grady Health System
Grady Health System
Grady Health SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 885
Additional practice sites
- 3300 N E Expy Ne Ste 200, Atlanta, GA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207P00000X
363A00000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-22
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