Individual
ADITYA SHITALKUMAR RALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 PENNSYLVANIA AVE SE STE 200, WASHINGTON, DC 20003-4361
(202) 331-1188
Mailing address
1785 HOLLY OAK LN, CHATTANOOGA, TN 37421-3497
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
98735
GA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
98735
GA
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD210001930
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2018
Last updated
05/22/2024
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