Individual
PALANISAMY RAJASEKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 MEDICAL CENTER BLVD, GWINNETT WOMENS PAVILION, LAWRENCEVILLE, GA 30045-7693
(770) 921-4492
(770) 696-3358
Mailing address
1180 VINTAGE CLUB DR, DULUTH, GA 30097-2008
(770) 329-1216
(770) 696-4051
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
052204
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083668065E
—
GA
05
—
083668065I
—
GA
05
—
083668065J
—
GA
05
—
083668065K
—
GA
05
—
083668065L
—
GA
05
—
083668065M
—
GA
Enumeration date
04/26/2006
Last updated
09/17/2009
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