Doctor Name: | SANJIT D PETER |
NPI Number: | 1255511267 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 068538 |
Business Practice Address: | 6325 Hospital Pkwy Johns Creek, GA - 300975775 |
Business Phone Number: | 6784747000 |
Business Fax Number: | |
Mailing Address: | 2940 Soldiers Home Rd, WEST LAFAYETTE |
State: | IN |
Postal Code: | 479061657 |
Phone Number: | 7657494084 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 09/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 068538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |