Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 066808 | GA |
NPI | 1053492975 |
---|---|
Provider Name | Dr. Vishwas S Sakhalkar |
First Address | Macon, GA 31201-7567 |
Second Address | Macon, GA 31201-7567 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 16/09/2020 |