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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558355685 NPPES
Georgia MEDICAID 00744191F

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