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Individual
SANGEETHA DAYALAN
Active
Individual
SANGEETHA DAYALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2047
GA
207R00000X
Internal Medicine Physician
Primary
P8881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062328
COMPOSITE STATE BOARD OF MEDICAL EXAMINERS
GA
Enumeration date
01/22/2008
Last updated
01/11/2021
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