Individual
DR. NAVIN PRAKASH WADEHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6002 PROFESSIONAL PKWY STE 220, DOUGLASVILLE, GA 30134-5627
(678) 715-9690
(678) 581-7140
Mailing address
531 ROSELANE ST NW STE 710, MARIETTA, GA 30060-6975
(678) 331-3297
(678) 581-7187
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
05834
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396755385
NPI NUMBER
GA
05
—
826265683A
—
GA
05
—
826265683C
—
GA
Enumeration date
08/09/2006
Last updated
04/17/2019
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