Individual
MR. DARYOOSH DERAKHSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2409 N PATTERSON ST, VALDOSTA, GA 31602-2512
(229) 433-8160
Mailing address
2409 N PATTERSON ST, VALDOSTA, GA 31602-2512
(229) 433-8160
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
86942
GA
Other
Enumeration date
03/20/2013
Last updated
01/27/2021
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