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Individual

DR. KISHORE J. HARJAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
310 HOSPITAL DR STE 330, MACON, GA 31217-3895
(478) 200-8152
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4093
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
14135-320
WI
207RC0000X
Cardiovascular Disease Physician
MD421879
PA
207RI0011X
Interventional Cardiology Physician
036161255
IL
207RI0011X
Interventional Cardiology Physician
Primary
105124
GA
207RI0011X
Interventional Cardiology Physician
14135-320
WI
207RI0011X
Interventional Cardiology Physician
2021014024
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02412059
NY
01
CC9269
RR MEDICARE GROUP
PA
01
GU039823
MEDICARE GROUP
PA
01
P00040776
RR MEDICARE PIN
PA
Enumeration date
03/01/2006
Last updated
05/12/2026
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