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Individual

VIKRAM GAUTAM PANKAJ RAJE

Active
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Individual

VIKRAM GAUTAM PANKAJ RAJE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
85219
GA
207RI0011X
Interventional Cardiology Physician
85219
GA

Other

Enumeration date
05/16/2011
Last updated
12/07/2020
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