Dr Anita Kanithahalli Shetty, MD | |
835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060-1031 | |
(770) 422-5557 | |
(770) 422-5456 |
Full Name | Dr Anita Kanithahalli Shetty |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 17 Years |
Location | 835 Cogburn Ave Nw, Marietta, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649477035 | NPI | - | NPPES |
068558 | Other | GA | GEORGIA STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 068558 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology Affiliates Llc | 5799763975 | 15 |
Entity Name | Skin Cancer Specialists P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114022167 PECOS PAC ID: 6800885757 Enrollment ID: O20040507000201 |
Entity Name | Dermatology Affiliates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730244872 PECOS PAC ID: 5799763975 Enrollment ID: O20040713000970 |
Entity Name | Medical Dermatology Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544679 PECOS PAC ID: 0244463040 Enrollment ID: O20140501001470 |
Mailing Address | Practice Location Address |
---|---|
Dr Anita Kanithahalli Shetty, MD 5730 Glenridge Dr Ste T100, Atlanta, GA 30328-5747 Ph: (404) 939-9220 | Dr Anita Kanithahalli Shetty, MD 835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060-1031 Ph: (770) 422-5557 |
Jordan Thompson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 Cogburn Avenue, Suite 100, Marietta, GA 30060 Phone: 770-422-5557 Fax: 770-422-5456 | |
Ms. Onaopemipo Olayide Ofodile, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068 Phone: 770-971-3376 | |
Jennifer L Jones, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 Cogburn Avenue, Suite 100, Marietta, GA 30060 Phone: 770-422-5557 Fax: 770-422-5458 | |
Clem Melton Doxey Jr., M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 111 Marble Mill Rd Nw, Marietta, GA 30060 Phone: 770-422-1013 Fax: 770-514-5996 | |
Dr. Alan M Gardner, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2550 Windy Hill Rd Se, Suite 220, Marietta, GA 30067 Phone: 770-952-2100 Fax: 770-850-9712 | |
Dr. Matthew Preston Hughes, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 Cogburn Ave Nw, Suite 250, Marietta, GA 30060 Phone: 770-422-8815 Fax: 770-422-8816 | |
Dr. Jennifer Louise Buckley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060 Phone: 770-422-5557 Fax: 770-422-5456 |