Individual
ELLIOT G RAIZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
024478
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00344847A
—
GA
01
—
28131
BLUE CROSS BLUE SHIELD
—
05
—
309509
—
GA
01
—
581958199
CHAMPUS
—
01
—
85000553G
GEORGIA BETTER HEALTHCARE
GA
01
—
9202955
UNITED HEALTH CARE
—
Enumeration date
08/01/2006
Last updated
07/23/2012
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