Midha, Raju
Midha, Raju is an sole proprietor health care provider with primary practice located at 1404 Montreal Rd , Tucker GA 30084. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Midha, Raju can be contacted via phone (770) 492-8665.Contact Information
Primary practice address
1404 Montreal Rd
Tucker GA 30084
Phone: (770) 492-8665
Fax: (770) 492-8663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 54164 | Georgia |
Profile Details
| NPI number | 1497745251 |
|---|---|
| LBN Legal business name | Midha, Raju |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Nov 3rd, 2020 - about 4 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 | 1497745251 | NPPES |
| Georgia | Other | 054164 | LICENSE |
| Georgia | MEDICAID | 003108944B | LICENSE |
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