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Individual
JAGADISHWAR DEVKOTA
Active
Individual
JAGADISHWAR DEVKOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
017602
GA
208D00000X
General Practice Physician
Primary
017602
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00185138D
—
GA
Enumeration date
10/19/2006
Last updated
04/25/2017
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