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Individual

SUSHILA N TEJANI

Active
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Individual

SUSHILA N TEJANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
019022
GA
207L00000X
Anesthesiology Physician
Primary
MD12356
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000374041B
GA
05
009802260
AL
01
050065149
RAILROAD MEDICARE
TN
05
1513900
TN
01
3074807
BLUE CROSS BLUE SHIELD TN
TN
05
890575N
NC
01
N374700
WELLCARE (GA MEDICAID)
GA
Enumeration date
11/21/2006
Last updated
01/14/2010
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