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Individual

CHETAN GOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2701 NORTH DECATUR ROAD, DECATUR, GA 30033
(404) 501-1849
Mailing address
2100 POWELL STREET, STE 920, EMERYVILLE, CA 94608-1803
(510) 350-2600
(510) 879-9100

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17561
NV
207P00000X
Emergency Medicine Physician
52666
GA
207P00000X
Emergency Medicine Physician
C53813
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
841561944B
GA
05
841561944C
GA
Enumeration date
06/16/2006
Last updated
10/16/2024
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