Individual
RANJAN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4355 JOHN'S CREEK PARKWAY, SUITE 500, SUWANEE, GA 30024-6085
(770) 623-0008
(770) 623-0009
Mailing address
3245 PEACHTREE PARKWAY, SUITE D-170, SUWANEE, GA 30024-6008
(770) 623-0008
(770) 623-0009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054087
GA
207RI0200X
Infectious Disease Physician
054087
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
801250932A
—
GA
01
—
GRP6956
MEDICARE GROUP
GA
Enumeration date
07/10/2006
Last updated
12/12/2013
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