Individual
DHANRAJ N PADHIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 NORTHSIDE DR, VALDOSTA, GA 31602-1859
(229) 242-5050
(229) 242-0716
Mailing address
207 NORTHSIDE DR, VALDOSTA, GA 31602-1859
(229) 242-5050
(229) 242-0716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022615
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85001169G
—
GA
Enumeration date
05/24/2006
Last updated
10/27/2015
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