Provider Demographics
NPI:1548260904
Name:KUTE, VAISHALI B (MD)
Entity type:Individual
Prefix:DR
First Name:VAISHALI
Middle Name:B
Last Name:KUTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4807 BLYTH CT
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5021
Mailing Address - Country:US
Mailing Address - Phone:770-667-6967
Mailing Address - Fax:770-667-6908
Practice Address - Street 1:3155 N POINT PKWY
Practice Address - Street 2:BLDG D STE 200
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-5481
Practice Address - Country:US
Practice Address - Phone:770-667-6967
Practice Address - Fax:866-578-7440
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0455262080A0000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000825041DMedicaid