Individual
CHANDRIKA TEJAS RAIYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 802-3020
Mailing address
1861 GREY OAKS PARK LN, GLEN ALLEN, VA 23059
(423) 737-9608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
008206
GA
207R00000X
Internal Medicine Physician
Primary
4301505767
MI
Other
Enumeration date
06/06/2016
Last updated
10/20/2021
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