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Individual

DR. PRATEEK CHANDRASHEKAR GANDIGA

Active
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Individual

DR. PRATEEK CHANDRASHEKAR GANDIGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
078547
GA
208M00000X
Hospitalist Physician
MD038949
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00894798
RAILROAD MEDICARE
DC
Enumeration date
04/17/2007
Last updated
07/21/2022
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