Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 64359 | GA |
NPI | 1043421175 |
---|---|
Provider Name | Dr. Ashish Dhungel |
First Address | Newnan, GA 30265-1323 |
Second Address | Newnan, GA 30265-1323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 18/03/2019 |