Individual
MRS. SHIVANI RAJAT GHAIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(770) 277-3056
(855) 204-5244
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN167419
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690286696A
—
GA
Enumeration date
01/24/2007
Last updated
01/06/2023
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