Individual
ANGAMPALLY G RAJEEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1551 DOCTORS DRIVE, BLDG 200, LAGRANGE, GA 30240-4139
(706) 884-2641
(706) 884-2353
Mailing address
1551 DOCTORS DRIVE, LAGRANGE, GA 30240-4139
(706) 884-2641
(706) 884-2353
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
057240
GA
207RI0011X
Interventional Cardiology Physician
04-32029
KS
207RI0011X
Interventional Cardiology Physician
057240
GA
207RI0011X
Interventional Cardiology Physician
Primary
57240
GA
Other
Enumeration date
06/14/2006
Last updated
08/31/2012
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