Pathak, Priyanka

Pathak, Priyanka is an individual health care provider with primary practice located at 3991 Highway 78 W Ste 102 , Snellville GA 30039-3929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Pathak, Priyanka can be contacted via phone (706) 353-2990.

Contact Information

Primary practice address
3991 Highway 78 W Ste 102 Snellville GA 30039-3929
Phone: (706) 353-2990
Fax: (706) 353-2992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 96110 Georgia

Profile Details

NPI number 1417189440
LBN Legal business name Pathak, Priyanka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2009
Last updated Jul 19th, 2024 - about 2 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 1417189440 NPPES
Pennsylvania MEDICAID 1030540000-001

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