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Individual

DR. SUBHASH S PUJARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2603
(706) 724-6100

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
032638
GA
2085R0202X
Diagnostic Radiology Physician
Primary
032638
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000971242B
GA
05
000971242C
GA
Enumeration date
06/21/2005
Last updated
09/18/2014
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