Individual
DR. RAO S. MORAVINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 SOUTH 8TH STREET, SUITE C, GRIFFIN, GA 30224-4880
(770) 228-1767
(770) 228-7562
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 228-1767
(770) 228-7562
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
51360
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000944831H
—
GA
05
—
000944831I
—
GA
Enumeration date
08/31/2006
Last updated
08/25/2020
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