Provider Demographics
NPI:1306070925
Name:BANDYOPADHYAY, JONA (MD)
Entity type:Individual
Prefix:DR
First Name:JONA
Middle Name:
Last Name:BANDYOPADHYAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 N POINT PKWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4248
Mailing Address - Country:US
Mailing Address - Phone:770-777-4933
Mailing Address - Fax:770-777-4934
Practice Address - Street 1:3180 N POINT PKWY
Practice Address - Street 2:BUILDING 200, SUITE 205
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4248
Practice Address - Country:US
Practice Address - Phone:770-777-4933
Practice Address - Fax:770-777-4934
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA70041207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003140543BMedicaid
GA003140543AMedicaid