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Vidal Bakshi, CST, CSFA

Specialist/Technologist, Other, Surgical Assistant in Johns Creek, GA. Individual provider (NPI-1).

NPI number1982302386
StatusActive
Last updated in NPPESApr 28, 2023

Details

NPI
1982302386
Entity type
Individual (NPI-1)
Name
Vidal Bakshi
Credential
CST, CSFA
Sex
Male
Sole proprietor
No
Enumeration date
Feb 16, 2023
Certification date
Apr 7, 2023
Last updated
Apr 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant215334GAYes

Practice location

6325 Hospital Pkwy
Johns Creek, GA 30097-5775

Phone 678-474-7000

Mailing address

3222 Grove Meadows Cv
Lawrenceville, GA 30044-3459

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