Individual
VIDAL BAKSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST, CSFA
Contact information
Practice address
6325 HOSPITAL PKWY, JOHNS CREEK, GA 30097-5775
(678) 474-7000
Mailing address
3222 GROVE MEADOWS CV, LAWRENCEVILLE, GA 30044-3459
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
215334
GA
Other
Enumeration date
02/16/2023
Last updated
04/28/2023
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