DR. ANJAN DEKA


Address: 460 Northside Cherokee Blvd Ste 190, Canton, GA 30115-8018
Phone: 4706396250

DR. ANJAN DEKA (NPI# 1205126851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205126851
Entity Type Individual
Full Name DR. ANJAN DEKA
Credential M.D.
Practice Address 460 Northside Cherokee Blvd Ste 190
Canton
GA 30115-8018
Mailing Address 9200 W Wisconsin Avenue
Divison of Cardiology
Milwaukee
WI 53226-3522
Practice Telephone 4706396250
Practice Fax Number 7703450712
Mailing Telephone 4149555611
Mailing Fax Number 4144566515
Enumeration Date 2011-04-17
Last Update Date 2019-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
6745320 WI Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
036.135578 IL Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
82555 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1205126851 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
Zablocki Va Medical Center Div of Cardiology Ave, Milwaukee, WI 532953833 4143842000
9200 W Wisconsin Avenue, Divison of Cardiology, Milwaukee, WI 532263522 (414) 955-5611 4144566515
460 Northside Cherokee Blvd Ste 190, Canton, GA 301158018 4706396250 7703450712

Office Location

Street Address 460 NORTHSIDE CHEROKEE BLVD STE 190
City CANTON
State GA
Zip Code 30115-8018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144210642 Gordon Jerome Azar Jr. Internal Medicine 460 Northside Cherokee Blvd Ste 190, Canton, GA 30115-8018 2005-10-26
1679899074 Ramal M Weragoda Internal Medicine 460 Northside Cherokee Blvd Ste 190, Canton, GA 30115-8018 2010-04-12
1114000767 Aashish Kiran Desai Internal Medicine 460 Northside Cherokee Blvd Ste 190, Canton, GA 30115-8018 2006-10-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497364806 Amanda Arbogast Speech-Language Pathologist 610 Royal Crest Court, Canton, GA 30115 2020-07-31
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1700394319 Jennifer Lynn Davenport Nurse Practitioner 684 Sixes Rd Ste 125, Holly Springs, GA 30115 2018-01-17
1851717961 Wal-mart Stores East, Lp Technician/Technologist 2200 Holly Springs Pkey, Holly Springs, GA 30115 2014-03-13
1194148502 Julia Bedingfield Reid Pharmacist 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 2014-01-22
1447597992 America's Best Contacts & Eyeglasses Technician/Technologist 2030 Cumming Highway, Suite 106, Canton, GA 30115 2013-01-03
1679821193 Jill M Decorso Speech-Language Pathologist 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 2012-08-15
1306113378 Sidney Boyd Collier IIi Pharmacist 6111 Hickory Flat Highway, Canton, GA 30115 2011-11-18
1174804702 Rayllensons Itacy Physician Assistant 2020 Cumming Highway, Suite 102, Canton, GA 30115 2011-09-09
1245534346 Kim M. Mcmillan Counselor 154 Lakeside Drive, Canton, GA 30115 2011-01-04
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144210642 Gordon Jerome Azar Jr. Internal Medicine 460 Northside Cherokee Blvd Ste 190, Canton, GA 30115-8018 2005-10-26
1508865213 Joseph Michael Surmitis Internal Medicine 4082 Fulton Dr Nw, Canton, OH 44718-2866 2005-07-15
1023585395 Stacy Ann Cartmell Internal Medicine 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2018-10-25
1851538953 Symphony Cardiology and Sexual Medicine, LLC Internal Medicine 2600 Tuscarawas St W, Suite 220, Canton, OH 44708-4644 2009-01-12
1841279684 John J. Paulowski Internal Medicine 2600 6th St Sw, Suite A2-710, Canton, OH 44710-1702 2006-01-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669019394 Champ Vascular, LLC Internal Medicine 1825 Highway 34 E Ste 3400, Newnan, GA 30265-6423 2019-12-02
1174006159 Kendall M Griffith Md LLC Internal Medicine 1497 Fair Rd Ste 311, Statesboro, GA 30458-0828 2018-09-14
1558869826 Coordinated Health of Ga, LLC Internal Medicine 10 Glenlake Pkwy Ste 130c, Atlanta, GA 30328-3495 2018-01-31
1447559604 David Brendan Casey Internal Medicine 1700 Tree Ln Ste 100, Snellville, GA 30078-6749 2011-03-26
1730404120 Deepali Nivas Tukaye Internal Medicine 1505 Northside Blvd Ste 3400, Cumming, GA 30041-8223 2010-03-29
1659560647 Oduwole Organization Inc Internal Medicine 1415 Highway 85 N Ste 310-296, Fayetteville, GA 30214-7738 2007-10-16
1053487462 Tiftarea Cardiology Internal Medicine 907 E. 18th St, Ste 100, Tifton, GA 31794 2006-11-28
1255412094 Jeetendra B Patel Internal Medicine 1301 Sigman Rd Ne Ste 200, Conyers, GA 30012 2006-10-18
1811082605 Cardiac Disease Specialists, PC Internal Medicine 296 Merchants Sq, Dallas, GA 30132-5029 2006-10-04
1770508756 Hunt Dandridge Anderson Internal Medicine 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0003 2006-07-12
Find all providers with the same taxonomy

Competitor

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City CANTON
Zip Code 30115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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