Patil, Dharmaraj Halligouda
Patil, Dharmaraj Halligouda is an sole proprietor health care provider with primary practice located at 11379 Southbridge Pkwy Suite A, Alpharetta GA 30022-4469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Patil, Dharmaraj Halligouda can be contacted via phone (770) 777-0750.Contact Information
Primary practice address
11379 Southbridge Pkwy Suite A
Alpharetta GA 30022-4469
Phone: (770) 777-0750
Fax: (770) 777-0521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 042386 | Georgia |
Profile Details
| NPI number | 1558355685 |
|---|---|
| LBN Legal business name | Patil, Dharmaraj Halligouda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2005 |
| Last updated | Jul 12th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558355685 | NPPES |
| Georgia | MEDICAID | 00744191F |
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