Kesavan, Conjeevaram R
Kesavan, Conjeevaram R is an individual health care provider with primary practice located at 605 Old Norcross Rd , Lawrenceville GA 30045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kesavan, Conjeevaram R can be contacted via phone (770) 962-1231.Contact Information
Primary practice address
605 Old Norcross Rd
Lawrenceville GA 30045
Phone: (770) 962-1231
Fax: (770) 513-2107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 038529 | Georgia |
Profile Details
| NPI number | 1912968801 |
|---|---|
| LBN Legal business name | Kesavan, Conjeevaram R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Oct 25th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912968801 | NPPES |
| Georgia | Other | 390007158 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 000617735J | RAILROAD MEDICARE |
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