Individual provider · Type 1 NPI

Deepak Dev Vivekanandan, MD

Student in an Organized Health Care Education/Training Program · Gainesville, GA

NPI number 1609484872 Active

Practice location

743 Spring St NE Ste 710
Gainesville, GA 30501-3715

Call (770) 219-9000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609484872

Deepak Dev Vivekanandan, MD's National Provider Identifier is 1609484872, issued on Jul 14, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, GA. The record was last updated on Jun 27, 2023.