Provider Demographics
NPI:1184980096
Name:TEJANI, MAANASA MURALIDHAR (MD)
Entity type:Individual
Prefix:DR
First Name:MAANASA
Middle Name:MURALIDHAR
Last Name:TEJANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MAANASA
Other - Middle Name:
Other - Last Name:MURALINDHAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3495 PIEDMONT ROAD, NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1736
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:
Practice Address - Street 1:1988 PEACHTREE ROAD SHEFIELD BLDG
Practice Address - Street 2:HOSPITAL SERVICES SUITE 205
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309
Practice Address - Country:US
Practice Address - Phone:404-365-0966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA67329207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine