Individual
DEEPIKA KOGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 JESSE HILL JR. DRIVE, SW, GLENN MEMORIAL BLDG 3RD FL, ATLANTA, GA 30303
(404) 251-8915
Mailing address
69 JESSE HILL JR. DRIVE, SW, GLENN MEMORIAL BLDG 3RD FL, ATLANTA, GA 30303
(404) 251-8915
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
80987
GA
Other
Enumeration date
04/16/2012
Last updated
08/09/2018
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