Jagoo, Gautam
Jagoo, Gautam is an individual health care provider with primary practice located at 1700 Medical Way , Snellville GA 30078-2195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jagoo, Gautam can be contacted via phone (770) 979-0200.Contact Information
Primary practice address
1700 Medical Way
Snellville GA 30078-2195
Phone: (770) 979-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 05601 | Georgia |
Profile Details
| NPI number | 1124092986 |
|---|---|
| LBN Legal business name | Jagoo, Gautam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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