IndividualActive
Jose Theckedath, MD
NPI 1982798047 · Allergy & Immunology Physician · Albany, GA
Provider details
- NPI number
- 1982798047
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- GA45992 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1911 Palmyra Rd
Albany, GA 31701-1574
Phone: (229) 446-7227
Fax: (229) 420-4365
Approximate (ZIP-level) locationGet directions
Mailing address
1911 Palmyra Rd
Albany, GA 31701-1574
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2013-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.