Provider Demographics
NPI:1235815242
Name:DINGANE INNOVATIONS INC
Entity Type:Organization
Organization Name:DINGANE INNOVATIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DINGANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARUTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-675-9011
Mailing Address - Street 1:5651 TUXEDO DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-7526
Mailing Address - Country:US
Mailing Address - Phone:678-675-9011
Mailing Address - Fax:770-234-6214
Practice Address - Street 1:5651 TUXEDO DR
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-7526
Practice Address - Country:US
Practice Address - Phone:678-675-9011
Practice Address - Fax:770-234-6214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty