Mugundu, Keerthana Dwarakan

Mugundu, Keerthana Dwarakan is an individual health care provider with primary practice located at 1514 Vernon Rd , Lagrange GA 30240-4131. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Mugundu, Keerthana Dwarakan can be contacted via phone (706) 812-2369.

Contact Information

Primary practice address
1514 Vernon Rd Lagrange GA 30240-4131
Phone: (706) 812-2369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 84428 Georgia

Profile Details

NPI number 1629430897
LBN Legal business name Mugundu, Keerthana Dwarakan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2016
Last updated Feb 4th, 2020 - about 5 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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