Individual
DR. DINESH VENKOBA RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
475 PHILIP BLVD STE 200, LAWRENCEVILLE, GA 30046-8737
(678) 226-6201
(678) 225-4037
Mailing address
10600 MEDLOCK BRIDGE RD, DULUTH, GA 30097-8404
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
065880
GA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
065880
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003119067
—
GA
Enumeration date
06/15/2007
Last updated
01/14/2023
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