Provider Demographics
NPI:1801831797
Name:DODANI, HEMAN B (MD)
Entity Type:Individual
Prefix:DR
First Name:HEMAN
Middle Name:B
Last Name:DODANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6185 BUFORD HWY
Mailing Address - Street 2:SUITE E-400
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-2350
Mailing Address - Country:US
Mailing Address - Phone:678-421-9700
Mailing Address - Fax:678-421-9702
Practice Address - Street 1:6185 BUFORD HWY
Practice Address - Street 2:SUITE E-400
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-2350
Practice Address - Country:US
Practice Address - Phone:678-421-9700
Practice Address - Fax:678-421-9702
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA027368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00470467PMedicaid
GA00470467PMedicaid
GA08BDQCFMedicare ID - Type Unspecified