Individual
DR. MUTHU DEEPAK VIGNESH BHASKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
285 BOULEVARD NE STE 415, ATLANTA, GA 30312-4210
(404) 265-4400
(404) 265-5542
Mailing address
285 BOULEVARD, NE ST415, ATLANTA, GA 30312
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
73946
GA
2084N0400X
Neurology Physician
73946
GA
Other
Enumeration date
05/03/2011
Last updated
09/08/2017
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