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NPI Code Detail

MEDICARE: DR. GEETA DEVI GANDA D.O.

MEDICARE:  DR. GEETA DEVI GANDA  D.O.
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 Physician87988GA
22084P0800XPsychiatry Physician252036NY

General Provider Information

NPI Number : 1285863118
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEETA DEVI GANDA D.O.
Provider Business Mailing Address
First Line : 1100 LAKE HEARN DR
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30342-1523
Country : US
Telephone Number : 404-365-0966
Fax Number :
Provider Business Practice Location Address
First Line : 1100 LAKE HEARN DR
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1523
Country : US
Telephone Number : 404-365-0966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2009
Last Update Date : 03/26/2026

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Directions to “ DR. GEETA DEVI GANDA D.O.” Practice Location

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