Individual
RAJENDRA M. VAZIRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265-8001
(770) 400-6000
Mailing address
PO BOX 910329, SAN DIEGO, CA 92191-0329
(888) 727-1070
(877) 883-5176
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A100579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A1005790
BLUE SHIELD
CA
05
—
0A1005790
—
CA
Enumeration date
10/25/2006
Last updated
11/12/2024
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