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Individual

DR. ANJAN DEKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
460 NORTHSIDE CHEROKEE BLVD STE 190, CANTON, GA 30115-8018
(470) 639-6250
(770) 345-0712
Mailing address
9200 W WISCONSIN AVENUE, DIVISON OF CARDIOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-5611
(414) 456-6515

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036.135578
IL
207RC0000X
Cardiovascular Disease Physician
6745320
WI
207RI0011X
Interventional Cardiology Physician
Primary
82555
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205126851
WI
Enumeration date
04/17/2011
Last updated
07/21/2022
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