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Deepak Dev Vivekanandan, MD
Student in an Organized Health Care Education/Training Program in Gainesville, Georgia
NPI 1609484872

Deepak Dev Vivekanandan is a Student in an Organized Health Care Education/Training Program based in Gainesville, GA. Deepak Dev Vivekanandan practices in Gainesville, GA and has the professional credentials of MD. The NPI Number for Deepak Dev Vivekanandan is 1609484872 and holds a License No. (Georgia).

The current practice location address for Deepak Dev Vivekanandan is 743 Spring St Ne Ste 710, Gainesville, GA and can be reached out via phone at 770-219-9000.

Location: 743 Spring St Ne Ste 710, Gainesville, GA, 30501-3715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609484872
Provider Name
Deepak Dev Vivekanandan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
743 Spring St Ne Ste 710, Gainesville, GA, 30501-3715
Phone Number
770-219-9000
Fax Number
Provider Enumeration Date
07/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13-3971298 01 EMPLOYER
institution
Provider Business Practice Location Address Details
Address
743 Spring St Ne Ste 710
City
Gainesville
State
Georgia
Zip
30501-3715
Phone Number
770-219-9000
Fax Number
person
Provider Business Mailing Address Details
Address
743 Spring St Ne Ste 710
City
Gainesville
State
Georgia
Zip
30501-3715
Phone Number
770-219-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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