Provider Demographics
NPI:1508801705
Name:CHATOTH, DINESH K (MD)
Entity Type:Individual
Prefix:DR
First Name:DINESH
Middle Name:K
Last Name:CHATOTH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:497 WINN WAY
Mailing Address - Street 2:SUITE A-210
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030
Mailing Address - Country:US
Mailing Address - Phone:404-294-7033
Mailing Address - Fax:404-296-4661
Practice Address - Street 1:595 HURRICANE SHOALS RD NW
Practice Address - Street 2:SUITE 100
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-8762
Practice Address - Country:US
Practice Address - Phone:404-645-7150
Practice Address - Fax:770-339-4797
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2016-08-04
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Provider Licenses
StateLicense IDTaxonomies
GA050004207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA009267258AMedicaid
GA39BDCDCMedicare PIN
GAG40330Medicare UPIN