Individual
DEEPAK RAVINDRANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-7777
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
82640
GA
207RX0202X
Medical Oncology Physician
Primary
82640
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2016
Last updated
12/14/2025
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