Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 78074 | GA |
NPI | 1013295922 |
---|---|
Provider Name | Vipin Ramprasad Lohiya |
First Address | Atlanta, GA 30318-0922 |
Second Address | Fayetteville, GA 30214-2112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2011 |
Last Update Date | 12/05/2020 |