Most Relevant Information
Provider Data
| NPI Number: | 1003304619 |
| Provider Name: | BANNUR RAMANNA NANDEESH |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 89427 |
Most Important Dates
| Enumeration Date: | 04/30/2018 |
| Last Updated: | 08/25/2021 |
Provider Practice Location
1199 PRINCE AVE
ATHENS
GA
306062797
Practice Location Phone/Fax
| Phone: | 7064755076 |
| Fax: |
Provider Mailing Location
1199 PRINCE AVE STE 70
ATHENS
GA
306062797
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR