Gautam Jagoo, MD
Radiology, Diagnostic Radiology in Snellville, GA. Individual provider (NPI-1).
NPI number1124092986
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124092986
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gautam Jagoo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 05601 | GA | Yes |
Practice location
1700 Medical WaySnellville, GA 30078-2195
Phone 770-979-0200
Mailing address
2225 Sundown Dr NeAtlanta, GA 30345-3552
Phone 404-805-4947 · Fax 404-501-5707
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