Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 43011000320 | GA |
NPI | 1003073578 |
---|---|
Provider Name | Chirag D Popat |
First Address | Marietta, GA 30066-6340 |
Second Address | Roswell, GA 30076 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 17/10/2019 |