Provider Demographics
NPI:1275742686
Name:MURTY, RADHIKA GANTI (MD)
Entity Type:Individual
Prefix:DR
First Name:RADHIKA
Middle Name:GANTI
Last Name:MURTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:36 LENOX POINTE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3169
Mailing Address - Country:US
Mailing Address - Phone:404-237-3636
Mailing Address - Fax:404-262-3256
Practice Address - Street 1:3110 CLIFTON SPRINGS RD
Practice Address - Street 2:SUITE B
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-4600
Practice Address - Country:US
Practice Address - Phone:404-243-9500
Practice Address - Fax:404-244-2224
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA0519912084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry