Individual
JAGADISHWAR DEVKOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 WINGED FOOT DR, AUGUSTA, GA 30907-9140
(706) 414-8235
(706) 364-2606
Mailing address
20 WINGED FOOT DR, AUGUSTA, GA 30907-9140
(706) 414-8235
(706) 364-2606
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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