Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301090209 | MI |
N | 2081P2900X | Pain Medicine | 64680 | GA |
NPI | 1184823650 |
---|---|
Provider Name | Ramya Nagarajan Rangaraj |
First Address | Cumming, GA 30041-6239 |
Second Address | Cumming, GA 30041-6239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 23/02/2021 |