Individual
DR. PRIYANKA MINHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-3861
(706) 721-8623
Mailing address
1120 15TH ST STE BI-1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
86212
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86212
GA MEDICAL LICENSE
GA
Enumeration date
07/20/2016
Last updated
06/18/2021
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