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Individual
DR. ALFRED VIJAY RATHINAM
Active
Individual
DR. ALFRED VIJAY RATHINAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
074767
GA
208M00000X
Hospitalist Physician
Primary
074767
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.118435
MEDICAL LIC
IL
Enumeration date
05/22/2007
Last updated
06/18/2018
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