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Individual

DR. ANISSA AHUJA DURAIRAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5780 PEACHTREE DUNWOODY RD NE, SUITE 295, ATLANTA, GA 30342-1554
(404) 255-3633
(404) 255-7599
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
049999
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000931587B
GA
05
000931587C
GA
05
000931587F
GA
Enumeration date
10/18/2005
Last updated
05/12/2016
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