Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 033248 | GA |
NPI | 1114952645 |
---|---|
Provider Name | Dr. Raghuveer Krishna Halkar |
First Address | Atlanta, GA 30319-4009 |
Second Address | Atlanta, GA 30322-1059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |