Deka, Anjan
Deka, Anjan is an individual health care provider with primary practice located at 460 Northside Cherokee Blvd Ste 190 , Canton GA 30115-8018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Deka, Anjan can be contacted via phone (470) 639-6250.Contact Information
Primary practice address
460 Northside Cherokee Blvd Ste 190
Canton GA 30115-8018
Phone: (470) 639-6250
Fax: (770) 345-0712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 6745320 | Wisconsin |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036.135578 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 82555 | Georgia |
Profile Details
| NPI number | 1205126851 |
|---|---|
| LBN Legal business name | Deka, Anjan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2011 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205126851 | NPPES |
| Wisconsin | MEDICAID | 1205126851 |
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