Individual
NIRAJ RAMA NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1995 MALL OF GEORGIA BLVD STE A, BUFORD, GA 30519-6622
(678) 381-2020
Mailing address
1300 PEACHTREE INDUSTRIAL BLVD STE 1201, SUWANEE, GA 30024-4550
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
94296
GA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
94296
GA
Other
Enumeration date
04/09/2012
Last updated
01/11/2023
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