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Nirandr Inthachak, MD
Diagnostic Radiology Physician in Douglas, Georgia
NPI 1013900489

Nirandr Inthachak is a Diagnostic Radiology Physician based in Douglas, GA and is specialized in Diagnostic Radiology. Nirandr Inthachak practices in Douglas, GA and has the professional credentials of MD. The NPI Number for Nirandr Inthachak is 1013900489 and holds a License No. 020744 (Georgia).

The current practice location address for Nirandr Inthachak is 1101 Ocilla Rd, Douglas, GA and can be reached out via phone at 912-384-1900.

Location: 1101 Ocilla Rd, Douglas, GA, 31533-2207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013900489
Provider Name
Nirandr Inthachak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1101 Ocilla Rd, Douglas, GA, 31533-2207
Phone Number
912-384-1900
Fax Number
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020744 01 GA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1101 Ocilla Rd
City
Douglas
State
Georgia
Zip
31533-2207
Phone Number
912-384-1900
Fax Number
person
Provider Business Mailing Address Details
Address
1101 Ocilla Rd
City
Douglas
State
Georgia
Zip
31533-2207
Phone Number
912-384-1900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
020744 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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