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Individual

VENKATA SAI GOGINENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
470 NORTHSIDE CHEROKEE BLVD STE 480, CANTON, GA 30115-8034
(404) 962-6000
Mailing address
470 NORTHSIDE CHEROKEE BLVD STE 480, CANTON, GA 30115-8034
(404) 962-6000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME141103
FL
207RI0011X
Interventional Cardiology Physician
Primary
99814
GA

Other

Enumeration date
05/04/2015
Last updated
05/17/2024
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