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Contact Information

KOTA VENKATESH, MD
3905 JOHNS CREEK CT
SUITE 200
SUWANEE, GA30024-1224
 Phone: 770-495-0799
 Fax: 770-495-0783
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KOTA VENKATESH · (Male)

NPI Number 1609067081
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2007
Last updated 06/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 062621
Hospital affiliation(s)
  • GWINNETT MEDICAL CENTER - (Acute Care)
    1000 MEDICAL CENTER BOULEVARD
    LAWRENCEVILLE, GA 30045
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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