Organization
CENTER FOR PODIATRY CARE
Active
Other names
Aiyan Diabetes Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANAKI NADARAJAH DPM (PODIATRIST)
(706) 868-0319
Entity
Organization
Contact information
Practice address
462 FURYS FERRY RD, MARTINEZ, GA 30907
(706) 868-0319
(706) 868-3719
Mailing address
462 FURYS FERRY RD, MARTINEZ, GA 30907-9506
(706) 868-0319
(706) 868-3719
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000935261U
—
GA
Enumeration date
11/14/2006
Last updated
12/28/2018
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