Devkota, Jagadishwar

Devkota, Jagadishwar is an sole proprietor health care provider with primary practice located at 20 Winged Foot Dr , Augusta GA 30907-9140. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Devkota, Jagadishwar can be contacted via phone (706) 414-8235.

Contact Information

Primary practice address
20 Winged Foot Dr Augusta GA 30907-9140
Phone: (706) 414-8235
Fax: (706) 364-2606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 017602 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 017602 Georgia

Profile Details

NPI number 1013099001
LBN Legal business name Devkota, Jagadishwar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Apr 25th, 2017 - about 7 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 1013099001 NPPES
Georgia MEDICAID 00185138D

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