Provider Demographics
NPI:1518131168
Name:MAEGAWA, RODRIGO (MD)
Entity type:Individual
Prefix:DR
First Name:RODRIGO
Middle Name:
Last Name:MAEGAWA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5670 PEACHTREE DUNWOODY RD STE 990A
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4790
Mailing Address - Country:US
Mailing Address - Phone:404-303-4307
Mailing Address - Fax:470-889-0753
Practice Address - Street 1:5670 PEACHTREE DUNWOODY RD STE 990A
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4790
Practice Address - Country:US
Practice Address - Phone:404-303-4307
Practice Address - Fax:470-889-0753
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA103800207RH0003X
CO#NOT RECEIVED YET207RH0003X
MEMD19329207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology