Individual
MR. RAJESHKUMAR MOTILAL MINIYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 SHIELDS RD, DALTON, GA 30720-5013
(706) 278-6628
(706) 278-6650
Mailing address
140 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 232-1300
(706) 232-1039
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051597
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000954346B
—
GA
05
—
299653708A
—
GA
Enumeration date
07/21/2006
Last updated
09/14/2011
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