Jagadishwar Devkota
General Practice Physician
20 Winged Foot Dr
Augusta
, Georgia 30907-9140
Jagadishwar Devkota
General Practice Physician
20 Winged Foot Dr
Augusta
, Georgia 30907-9140
(706) 364-2606
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Jagadishwar Devkota
- 20 Winged Foot Dr
- Augusta, GA
- Zip : 30907-9140
- Fax : (706) 364-2606
- Phone : (706) 414-8235
Second Address
- Jagadishwar Devkota
- 20 Winged Foot Dr
- Augusta, GA
- Zip : 30907-9140
- Fax : (706) 364-2606
- Phone : (706) 414-8235
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Is Jagadishwar Devkota a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 017602 | GA |
National Provider Identifier
| NPI | 1013099001 |
|---|---|
| Provider Name | Jagadishwar Devkota |
| First Address | Augusta, GA 30907-9140 |
| Second Address | Augusta, GA 30907-9140 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 25/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00185138D | (05) | GA |
| D45216 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.