Individual
DR. DEEPTI A MUNJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4586 TIMBER RIDGE DR, SUITE 200, DOUGLASVILLE, GA 30135-7517
(770) 942-0457
(770) 942-7699
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 942-0457
(770) 942-7699
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
046627
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000810301AE
—
GA
05
—
000810301AF
—
GA
Enumeration date
01/04/2006
Last updated
08/18/2020
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