Provider Demographics
NPI:1437590866
Name:JEGADEESAN, RAMPRASAD (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMPRASAD
Middle Name:
Last Name:JEGADEESAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ATLANTA GASTROENTEROLOGY ASSOCIATES
Mailing Address - Street 2:3180 NORTH POINT PKWY BLDG 500, STE 511
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005
Mailing Address - Country:US
Mailing Address - Phone:770-227-2222
Mailing Address - Fax:
Practice Address - Street 1:3180 N POINT PKWY STE 511
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4569
Practice Address - Country:US
Practice Address - Phone:770-227-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-14
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA98610207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology