Individual
VIKRAM GAUTAM PANKAJ RAJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 534-2020
(770) 534-8025
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
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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