Individual
GALAL Y. GARGODHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3840 PEACHTREE INDUSTRIAL BLVD STE 225, DULUTH, GA 30096-5031
(678) 730-9202
(885) 592-2998
Mailing address
3840 PEACHTREE INDUSTRIAL BLVD STE 225, DULUTH, GA 30096-5031
(404) 884-5333
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
266119
MA
207L00000X
Anesthesiology Physician
28612
WV
207L00000X
Anesthesiology Physician
35.140606
OH
207L00000X
Anesthesiology Physician
90833
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
266119
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
90833
GA
208VP0000X
Pain Medicine Physician
28612
WV
208VP0000X
Pain Medicine Physician
35.140606
OH
208VP0000X
Pain Medicine Physician
Primary
90833
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110122016A
—
MA
Enumeration date
06/27/2012
Last updated
01/09/2024
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