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Individual

AVIRUP GUHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.B.B.S.

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-4052
(706) 721-3792
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.132847
OH
207RC0000X
Cardiovascular Disease Physician
Primary
90156
GA

Other

Enumeration date
07/11/2012
Last updated
05/31/2022
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