Individual
DR. DHARMARAJ HALLIGOUDA PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11379 SOUTHBRIDGE PKWY, SUITE A, ALPHARETTA, GA 30022-4469
(770) 777-0750
(770) 777-0521
Mailing address
11379 SOUTHBRIDGE PKWY, SUITE A, ALPHARETTA, GA 30022-4469
(770) 777-0750
(770) 777-0521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042386
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00744191F
—
GA
Enumeration date
09/05/2005
Last updated
07/12/2007
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