Individual
DR. MIRZA A KAJANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
226 E COLLEGE ST, SUITE B, GRIFFIN, GA 30224-4348
(678) 987-1490
(678) 987-1491
Mailing address
226 E COLLEGE ST, SUITE B, GRIFFIN, GA 30224-4348
(678) 987-1490
(678) 987-1491
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
31955
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000403147A
—
GA
01
—
102I100129
PTAN
GA
01
—
202I100956
PTAN
GA
01
—
300052394
TAX I.D. FOR OTHER INSURA
GA
Enumeration date
03/04/2007
Last updated
03/15/2016
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