Individual
DR. PRATEEK CHANDRASHEKAR GANDIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1365 CLIFTON RD NE BLDG A, ATLANTA, GA 30322-2113
(404) 778-3539
Mailing address
1365 CLIFTON ROAD, NE, EMORY CLINIC, DEPT OF MEDICINE, BLDG. A- SUITE AT441, ATLANTA, GA 30322-1013
(404) 778-0801
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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