Individual
DR. KRISHNA MOHAN RAJARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(047) 287-6144
Mailing address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(845) 333-6333
(845) 333-7342
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
88285
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/30/2018
Last updated
11/09/2022
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