Provider Demographics
NPI:1538499058
Name:WHISENHUNT, ANUMEHA KUMAR (DO)
Entity Type:Individual
Prefix:DR
First Name:ANUMEHA
Middle Name:KUMAR
Last Name:WHISENHUNT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ANU
Other - Middle Name:
Other - Last Name:KUMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:980 JOHNSON FERRY RD STE 1040
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1609
Mailing Address - Country:US
Mailing Address - Phone:770-292-3490
Mailing Address - Fax:404-300-2317
Practice Address - Street 1:980 JOHNSON FERRY RD STE 1040
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1609
Practice Address - Country:US
Practice Address - Phone:770-292-3490
Practice Address - Fax:404-300-2317
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA697342086S0129X
GA0697342086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOS014433OtherSTATE OF PENNSYLVANNIA