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NPI Code Detail

MEDICARE: DR. AJITA JOGLEKAR MD

MEDICARE:  DR. AJITA  JOGLEKAR  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician39601GA

General Provider Information

NPI Number : 1013978188
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AJITA JOGLEKAR MD
Provider Business Mailing Address
First Line : 4331 THURMOND TANNER RD
Second Line :
City : FLOWERY BRANCH
State : GA
Zip : 30542-2829
Country : US
Telephone Number : 678-513-5700
Fax Number : 678-513-5836
Provider Business Practice Location Address
First Line : 4331 THURMOND TANNER RD
Second Line :
City : FLOWERY BRANCH
State : GA
Zip : 30542-2829
Country : US
Telephone Number : 678-513-5700
Fax Number : 678-513-5836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 07/09/2007

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Directions to “ DR. AJITA JOGLEKAR MD” Practice Location

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