Individual
PREETHI RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4112 E PONCE DE LEON AVE, CLARKSTON, GA 30021-8106
(404) 296-7133
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
92648
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2019
Last updated
10/20/2022
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