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Individual

NAVIN TANEJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
130 HOSPITAL DR, WARNER ROBINS, GA 31088-4204
(478) 225-9983
(478) 225-9981
Mailing address
130 HOSPITAL DR, WARNER ROBINS, GA 31088-4204
(478) 225-9983
(478) 225-9981

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
052234
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
052234
GA
207RN0300X
Nephrology Physician
Primary
052234
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000980482D
GA
05
000980482F
GA
Enumeration date
07/12/2006
Last updated
09/24/2009
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