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General NPI Number Information
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NPI Number | 1184773186
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Entity Type | Individual
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Provider Name | GAURAV JINDAL MD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 2001 PEACHTREE RD NE STE 425
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City | ATLANTA
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State | GA
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Zip | 30309-1423
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Country | US
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Telephone | 404-350-2404
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 PEACHTREE RD NE STE 425
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City | ATLANTA
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State | GA
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Zip | 30309-1423
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 334141
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | D72496
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | C1-0026468
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0026468
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D72496
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 104252
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 104252
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License Number State | GA
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