Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ayesha Patel Khanduri, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740741289

Ayesha Patel Khanduri, DO is an Internal Medicine in Marietta, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2019, 7 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment.

Years since qualifying
7
Trained at
Philadelphia College of Osteopathic Medicine
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

677 Church St NE Lowr Level
Marietta, GA 30060-1101
Phone: (770) 793-5186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1740741289
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 27, 2019
Mailing address677 Church St Ne Lowr Level, Marietta, GA 30060-1101

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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