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Individual

DR. AMEET INDRAVADAN THAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-2069
Mailing address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-2069

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
95926
GA
207ZP0213X
Pediatric Pathology Physician
95926
GA

Other

Enumeration date
04/02/2012
Last updated
06/06/2024
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