Challagolla, Deepti C
Challagolla, Deepti C is an individual health care provider with primary practice located at 200 Wisteria Dr , Gainesville GA 30501-3827. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Challagolla, Deepti C can be contacted via phone (770) 219-5407.Contact Information
Primary practice address
200 Wisteria Dr
Gainesville GA 30501-3827
Phone: (770) 219-5407
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 90519 | Georgia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301101009 | Michigan |
Profile Details
| NPI number | 1124374244 |
|---|---|
| LBN Legal business name | Challagolla, Deepti C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2012 |
| Last updated | Jan 14th, 2022 - about 3 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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