# RAINBOW PEDIATRIC CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144465147
- **Authorized official:** DR. AARTI GANJU RAINA MD (OWNER)
- **Authorized official phone:** (770) 781-1606

## Contact information

- **Practice address:** 1670 BUFORD HWY, CUMMING, GA 30041-6585
- **Practice address phone:** (770) 781-1606
- **Mailing address:** 1670 BUFORD HWY, CUMMING, GA 30041-6585
- **Mailing address phone:** (770) 781-1606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 45591 | GA | Yes |

## Other

- **Enumeration date:** 12/05/2008
- **Last updated:** 12/05/2008