Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deepak Dev Vivekanandan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609484872

Deepak Dev Vivekanandan, MD is a Student in an Organized Health Care Education/Training Program in Gainesville, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

743 Spring St NE Ste 710
Gainesville, GA 30501-3715
Phone: (770) 219-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1609484872
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2020
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023
Mailing address743 Spring St Ne Ste 710, Gainesville, GA 30501-3715

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