Provider Demographics
NPI:1578889143
Name:DE, NIDHI S (MD)
Entity Type:Individual
Prefix:DR
First Name:NIDHI
Middle Name:S
Last Name:DE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:275 COLLIER RD NW STE 100B
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1700
Mailing Address - Country:US
Mailing Address - Phone:678-485-0429
Mailing Address - Fax:404-350-5820
Practice Address - Street 1:275 COLLIER RD NW STE 100B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1700
Practice Address - Country:US
Practice Address - Phone:404-352-3656
Practice Address - Fax:404-350-5820
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2022-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA82849207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty