Deka, Anjan

Deka, Anjan is an individual health care provider with primary practice located at 460 Northside Cherokee Blvd Ste 190 , Canton GA 30115-8018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Deka, Anjan can be contacted via phone (470) 639-6250.

Contact Information

Primary practice address
460 Northside Cherokee Blvd Ste 190 Canton GA 30115-8018
Phone: (470) 639-6250
Fax: (770) 345-0712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 6745320 Wisconsin
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036.135578 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 82555 Georgia

Profile Details

NPI number 1205126851
LBN Legal business name Deka, Anjan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2011
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205126851 NPPES
Wisconsin MEDICAID 1205126851

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