Individual
DR. ALFRED VIJAY RATHINAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606
(706) 475-7000
(706) 475-7684
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
(470) 271-3421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
074767
GA
208M00000X
Hospitalist Physician
Primary
074767
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.118435
MEDICAL LIC
IL
Enumeration date
05/22/2007
Last updated
06/18/2018
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