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Contact Information

GAUTHAM VELLAICHAMY, MD
100 WOODRUFF CIR NE STE 327
ATLANTA, GA30322-2049
 Phone: 847-884-8096
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for GAUTHAM VELLAICHAMY · (Male)

NPI Number 1225659444
Status Active
Credentials MD
Entity Individual
Enumeration date 04/28/2020
Last updated 06/18/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 17977
  • IL License # 036171734
Hospital affiliation(s) Not Available
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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