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Individual

DR. TEJAS V RAIYANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 JOHN MADDOX DR NW STE A2, ROME, GA 30165-1431
(706) 295-1184
(706) 236-1919
Mailing address
100 JOHN MADDOX DR NW STE A2, ROME, GA 30165-1431
(706) 295-1184
(706) 236-1919

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071289A
IN
207R00000X
Internal Medicine Physician
074877
GA
207R00000X
Internal Medicine Physician
Primary
4301505797
MI
208M00000X
Hospitalist Physician
4301505797
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201079990
IN
Enumeration date
06/17/2009
Last updated
09/16/2025
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