Provider Demographics
NPI:1801833173
Name:KAKKAR, AMAN K (MD)
Entity Type:Individual
Prefix:
First Name:AMAN
Middle Name:K
Last Name:KAKKAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3970 DEPUTY BILL CANTRELL MEMORIAL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040
Mailing Address - Country:US
Mailing Address - Phone:678-513-2273
Mailing Address - Fax:678-513-8869
Practice Address - Street 1:3970 DEPUTY BILL CANTRELL MEMORIAL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040
Practice Address - Country:US
Practice Address - Phone:678-513-2273
Practice Address - Fax:678-513-8869
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2016-06-13
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Provider Licenses
StateLicense IDTaxonomies
GA56303207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
G46232Medicare UPIN