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

Dr. Ananth Mothukuri, MD

Individual provider Anesthesiology Physician · NPI 1194958900

Dr. Ananth Mothukuri, MD is an Anesthesiology in Marietta, Georgia. Qualified in 2005, 21 years ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group and works from 2 locations. Licensed in Georgia and New York.

Years since qualifying
21
Licensed in
GA, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2540 Windy Hill Rd SE
Marietta, GA 30067-8605
Phone: (470) 644-1274
Fax: (470) 644-1119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 776 E Providence Rd Apt D111, Aldan, PA 19018-4342 — (217) 361-6005

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 96863 (GA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 270144 (NY)

Record details

NPI number1194958900
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 26, 2009
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023
Mailing address776 E Providence Rd Apt D111, Aldan, PA 19018-4342

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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